Yvonne Marie Agius, M.D.

Individual provider Active NPI Family Medicine Physician · Republic, MO

NPI 1699724708 · NPPES record last updated Oct 2, 2023

Key facts

NPI
1699724708
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
2002027100 (MO)
Practice address
117 W State Highway 174
Republic, MO 65738-1036
Phone
(417) 647-5131
Fax
(417) 647-5168
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

117 W State Hwy 174
Republic, MO 65738-1036
Phone (417) 647-5131

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital · Springfield, MO · CCN 260065
  • Mercy Hospital Aurora Hospital · Aurora, MO · CCN 261316

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: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060614000143 MO Practitioner - Family Practice 5890707798 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Republic Family Medicine, LLC Family Medicine Current
since Sep 29, 2014
Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Advocates for a Healthy Community, Inc Past Accepting new patients
Advocates for a Healthy Community Inc Past Accepting new patients
North Springfield Family Medical Walk in Clinics Inc Past
since Dec 31, 2012
Accepting new patients

Locations

117 W State Highway 174
Republic, MO 65738
Phone (417) 647-5131

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002027100 MO Yes

Addresses

Primary practice location

117 W State Highway 174
Republic, MO 65738-1036

Mailing address

117 W State Highway 174
Republic, MO 65738-1036
Phone (417) 647-5131

Other providers in Republic, MO

All providers in Republic, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.