Andi J Selby, DO | |
202 E 50th St, Joplin, MO 64804-4920 | |
(417) 556-3400 | |
(417) 556-3401 |
Full Name | Andi J Selby |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 202 E 50th St, Joplin, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740444728 | NPI | - | NPPES |
1740444728 | Medicaid | MO | |
200632650A | Medicaid | OK | |
201136300A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2016007045 (Missouri) | Primary |
Entity Name | Branson Nephrology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427025212 PECOS PAC ID: 0840250585 Enrollment ID: O20041016000027 |
Mailing Address | Practice Location Address |
---|---|
Andi J Selby, DO 202 E 50th St, Joplin, MO 64804-4920 Ph: (417) 556-3400 | Andi J Selby, DO 202 E 50th St, Joplin, MO 64804-4920 Ph: (417) 556-3400 |
Dr. Justin James Dillingham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3126 S Jackson Ave, Ste 101, Joplin, MO 64804 Phone: 417-208-3465 | |
Michael D David, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1130 E 32nd St, Joplin, MO 64804 Phone: 417-347-2273 Fax: 417-347-2277 | |
Dr. Stephen Ray Thomas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Cir, Ste 302, Joplin, MO 64804 Phone: 417-347-8525 Fax: 417-347-8536 | |
Dennis Younker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 702 E 34th St Ste 202, Joplin, MO 64804 Phone: 417-347-2535 Fax: 417-347-2553 | |
Dr. Maria Fe Fiel Bruce, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3126 S Jackson Ave, Suite 201, Joplin, MO 64804 Phone: 417-781-4727 Fax: 417-627-8727 | |
Shuruk Haib, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2216 E 32nd St Ste 101, Joplin, MO 64804 Phone: 417-556-2780 Fax: 417-556-2781 | |
Dr. Noureddine El Moghrabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 |