| |
3100 S National Ave Ste 100, Springfield, MO 65807-7347 | |
(417) 889-2225 | |
(417) 889-1253 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 3100 S National Ave Ste 100, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336160092 | NPI | - | NPPES |
1235166455 | Other | MO | INDIVIDUAL NPI |
1316904352 | Other | MO | INDIVIDUAL NPI |
18140 | Other | MO | BLUE CROSS BLUE SHIELD |
123088 | Other | MO | ACA |
609614 | Other | MO | ACN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 000006508 (Missouri) | Primary |
111N00000X | Chiropractor | 2006014817 (Missouri) | Secondary |
Provider Name | Matthew C Maurer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770940207 PECOS PAC ID: 3971866062 Enrollment ID: I20180425000448 |
Mailing Address | Practice Location Address |
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3100 S National Ave Ste 100, Springfield, MO 65807-7347 Ph: (417) 889-2225 | 3100 S National Ave Ste 100, Springfield, MO 65807-7347 Ph: (417) 889-2225 |
Brendan Boucher, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2144 E Republic Rd Ste A104, Springfield, MO 65804 Phone: 417-887-8075 Fax: 417-887-8535 | |
Dr. Elizabeth A Gonyaw, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3101a S Kimbrough Ave, Springfield, MO 65807 Phone: 417-889-4445 Fax: 417-889-4047 | |
Dr. James Garrett Lane, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3534 S National Ave, Springfield, MO 65807 Phone: 417-881-5263 | |
Dr. Marcel Popa, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2725 N Kansas Expy, Ste 104, Springfield, MO 65803 Phone: 417-720-1250 Fax: 417-720-1251 | |
Gabe Ariciu Dc Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1736 E Sunshine St Ste 213, Springfield, MO 65804 Phone: 417-631-3152 |