Dr Dallas Mullock, DO | |
2332 S Main St, Maryville, MO 64468-3622 | |
(660) 562-2223 | |
(660) 562-2230 |
Full Name | Dr Dallas Mullock |
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Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 2332 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 |
---|---|---|---|
1134504012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2015023403 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Home Health And Restorative Care | Fairfax, MO | Home health agency |
Aseracare Hospice | Kansas city, MO | Hospice |
Ssm Health St. Francis Hospital- Maryville | Maryville, MO | Hospital |
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Mosaic Medical Center Albany | Albany, MO | Hospital |
Nodaway Nursing Home | Maryville, MO | Nursing home |
Entity Name | Mullock Health Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881224707 PECOS PAC ID: 4587091541 Enrollment ID: O20200304000180 |
Mailing Address | Practice Location Address |
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Dr Dallas Mullock, DO 2332 S Main St, Maryville, MO 64468-3622 Ph: (660) 562-2223 | Dr Dallas Mullock, DO 2332 S Main St, Maryville, MO 64468-3622 Ph: (660) 562-2223 |
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. 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 | |
Bryan Robert Green, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-7999 Fax: 660-562-7996 |