Stephanie Marie Aug, PA
Individual provider Active NPI Medical Physician Assistant · Bolivar, MO
NPI 1225304587 · NPPES record last updated Mar 30, 2012
Key facts
- NPI
- 1225304587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 1500 N Oakland Ave
Bolivar, MO 65613-3011 - Phone
- (417) 326-6000
- NPI assigned
- Mar 30, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Citizens Memorial Healthcare
Practice addresses (Care Compare)
Bolivar, MO 65613
Phone (417) 328-6631
1155 W Parkview
Bolivar, MO 65613-7800
1155 W Parkview St
Bolivar, MO 65613-7800
1500 N Oakland Ave
CMH Diabetes
Bolivar, MO 65613-3099
Phone (417) 328-6040
Hospital & facility affiliations
- Citizens Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120817000306 | MO | Practitioner - Physician Assistant | 7113173568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Memorial Healthcare | Current |
Accepting new patients | |
| Citizens Memorial Healthcare | Current |
Accepting new patients |
Locations
1155 W Parkview St
Ste 2D
Bolivar, MO 65613
Phone (417) 777-2663
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
1500 N Oakland Ave
Bolivar, MO 65613-3011
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 326-6000
Other providers in Bolivar, MO
- Kaylee Jaynelle Ankrom
- Nadia Ariqat
- Hannah Ashlock
- Associates in Medicine
- Associates in Medicine, Inc
- Azare
- Jason M Bailey
- Harcharan Bains
- Laci C Banks
- Deanna Lynn Barklage
All providers in Bolivar, MO · Medical Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.