| Mauricio Jose Pasquale, PA-C | |
|
304a E 4th St, Eldon, MO 65026-1808 | |
| (573) 557-2400 | |
| (573) 557-2401 |
| Full Name | Mauricio Jose Pasquale |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 304a E 4th St, Eldon, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609170018 | NPI | - | NPPES |
| 220051618 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2018004251 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Regional Health System | 9133026776 | 80 |
| Mailing Address | Practice Location Address |
|---|---|
| Mauricio Jose Pasquale, PA-C 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 348-8000 | Mauricio Jose Pasquale, PA-C 304a E 4th St, Eldon, MO 65026-1808 Ph: (573) 557-2400 |
Mr. Henry Keiler Bluhm Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-557-2400 Fax: 573-557-2401 | |
Katlyn Renee Kruse, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 103 N Business Highway 54 E, Eldon, MO 65026 Phone: 573-392-2124 Fax: 573-392-6375 |