3850 S NATIONAL AVE #700
SPRINGFIELD, MO 65807-5287 US PECOS Enrolled
Overview
Mira Choe is a Internal Medicine Physician in the SPRINGFIELD area and has over 34 years of experience. Mira Choe primary office location is at 3850 S NATIONAL AVE and new patients are welcome to contact this healthcare provider for an appointment. She attended University Of Missouri, Kansas City, School Of Medicine and graduated 1990
Mira Choe is affiliated with two hospitals in the SPRINGFIELD area, including COX MEDICAL CENTER BRANSON. The NPI number is 1205849569 and the information was updated approximately 12 years ago.
Mira Choe is affiliated with one medical group in the SPRINGFIELD area, LESTER E COX MEDICAL CENTERS.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 103527 | MO |
| Type/Issuer | Identifier | State |
|---|---|---|
| BLUE CROSS | 106523 | - |
| MEDICAID | 208614503 | MO |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | MO | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20061117000353 |
| PECOS Individual PAC ID: | 4284632738 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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