Individual ProviderVivek YagnikRadiologyAllopathic & Osteopathic PhysiciansPractice AddressOne Hospital Dr, Columbia, MO 65212-0001(573) 884-7770(573) 884-3300PECOS EnrollmentBased on the most recent information from CMS, provider Vivek Yagnik is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1376533505Provider TypeIndividualFull NameYagnik, VivekTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/27/2005Last Updated6/11/2024Contact InformationPractice LocationPractice AddressOne Hospital Dr, Columbia, MO 65212-0001Phone(573) 884-7770Fax(573) 882-9876Mailing LocationMailing AddressPO Box 843966, Kansas City, MO 64184-3966Phone(573) 884-3300Fax(573) 884-0943Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2001010884MissouriCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense25772New HampshireCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseK4343TexasProvider IdentifiersIDDescriptionIssuerID045049603DescriptionMedicaidIssuerUnlistedTexasID045049605DescriptionMedicaidIssuerUnlistedTexas