Clifford M Costley, MD | |
2200 E Cleveland St, Monett, MO 65708-6149 | |
(417) 236-2600 | |
(417) 236-2619 |
Full Name | Clifford M Costley |
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Gender | Male |
Speciality | Family Medicine |
Location | 2200 E Cleveland St, Monett, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134237308 | NPI | - | NPPES |
201967833 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36273 (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: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
Mailing Address | Practice Location Address |
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Clifford M Costley, MD 3800 S National Ave, #540, Springfield, MO 65807-5209 Ph: (417) 236-2600 | Clifford M Costley, MD 2200 E Cleveland St, Monett, MO 65708-6149 Ph: (417) 236-2600 |
Dr. Tobin Scott Crow, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 N Lincoln Ave Ste G, Monett, MO 65708 Phone: 417-354-1500 Fax: 417-354-1505 | |
Ryan E Mcdowell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 N Lincoln Ave, Monett, MO 65708 Phone: 417-235-3144 | |
Dr. Brook Beaumont Bounous, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 E Highway 60, Monett, MO 65708 Phone: 417-354-1580 Fax: 417-354-1585 | |
Karissa A Merritt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E Highway 60, Monett, MO 65708 Phone: 417-235-3144 Fax: 417-354-1412 | |
Dr. Deborah Jo Jarrett, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 W Benton St, Monett, MO 65708 Phone: 417-236-2410 Fax: 417-236-2425 | |
Dr. Clinton Blake Loy, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 E Highway 60, Monett, MO 65708 Phone: 417-354-1287 Fax: 417-354-1412 |