Individual ProviderJoel SchmidtRadiologyAllopathic & Osteopathic PhysiciansPractice Address1 Hospital Drive, Dc069.10, Columbia, MO 65212(573) 882-1026PECOS EnrollmentBased on the most recent information from CMS, provider Joel Schmidt 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 ID1750765558Provider TypeIndividualFull NameSchmidt, JoelCredentialDOGenderMaleSole ProprietorNoEnumeration Date7/13/2015Last Updated9/12/2019Contact InformationPractice LocationPractice Address1 Hospital Drive, Dc069.10, Columbia, MO 65212Phone(573) 882-1026FaxUnlisted FaxMailing LocationMailing Address1 Hospital Drive, Dc069.10, Columbia, MO 65212Phone(573) 882-1026FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2015017183MissouriProvider IdentifiersIDDescriptionIssuerID2015017183DescriptionOtherIssuerTEMPORARY MEDICAL LICENSE NUMBERMissouri