Bryan Robert Green, MD | |
2016 S Main St, Maryville, MO 64468-2655 | |
(660) 562-7999 | |
(660) 562-7996 |
Full Name | Bryan Robert Green |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 2016 S Main St, Maryville, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295791366 | NPI | - | NPPES |
1295791366 | Other | MO | TRICARE |
1295791366 | Medicaid | MO | |
201084370A | Medicaid | KS | |
1295791366 | Medicaid | IA | |
49561031 | Other | MO | BCBSKC |
P00273140 | Other | MO | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2005034471 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mosaic Life Care Home Health | Saint joseph, MO | Home health agency |
Mosaic Life Care Hospice | Saint joseph, MO | Hospice |
Ssm Health St. Francis Hospital- Maryville | Maryville, MO | Hospital |
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mosaic Medical Center - Maryville | 3678813896 | 76 |
Performance Plus Rehabilitation Center Llc | 5294791695 | 65 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Entity Name | Mosaic Medical Center - Maryville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
Mailing Address | Practice Location Address |
---|---|
Bryan Robert Green, MD 2016 S Main St, Maryville, MO 64468-2655 Ph: (660) 562-2525 | Bryan Robert Green, MD 2016 S Main St, Maryville, MO 64468-2655 Ph: (660) 562-7999 |
Mikaila Wallace, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7996 | |
Dr. Sally A. Bomar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Dr. Dallas Mullock, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2332 S Main St, Maryville, MO 64468 Phone: 660-562-2223 Fax: 660-562-2230 | |
Dr. Brian D. Golightly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Alison Sporleder, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 | |
Charles S Fillingane Ii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2336 S Main St Lowr Level, Maryville, MO 64468 Phone: 660-220-2123 Fax: 660-562-7911 |