Amanda Chelednik, MD | |
3800 S National Ave Ste 600, Springfield, MO 65807-5249 | |
(417) 875-3000 | |
Not Available |
Full Name | Amanda Chelednik |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 3800 S National Ave Ste 600, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710337746 | NPI | - | NPPES |
200035736 | Medicaid | MO | |
2016020829 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2016020829 (Missouri) | Primary |
Entity Name | Lester E Cox Medical Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760405864 PECOS PAC ID: 8628092897 Enrollment ID: O20060116000342 |
Mailing Address | Practice Location Address |
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Amanda Chelednik, MD Po Box 802843, Kansas City, MO 64180-2843 Ph: () - | Amanda Chelednik, MD 3800 S National Ave Ste 600, Springfield, MO 65807-5249 Ph: (417) 875-3000 |
Matthew E Simpson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 761 S Hickory Ter, Springfield, MO 65809 Phone: 417-894-6536 | |
Zachary C Schmittling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Springfield, MO 65807 Phone: 417-875-3700 Fax: 417-875-3737 | |
Dr. Robert M Cavagnol, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 100, Springfield, MO 65804 Phone: 417-820-3800 Fax: 417-820-3810 | |
Timothy D Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3245 | |
Charles W Dunn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 S Delaware Ave, Springfield, MO 65804 Phone: 417-860-7743 Fax: 417-269-7567 | |
James Gibson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 S Ridge Dr, Springfield, MO 65809 Phone: 417-887-2342 | |
Dr. Dante Caleb-samuel Dali, DO, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3960 |