Dr Matthew A Kienstra, MD | |
1965 S Fremont Ave, Suite 120, Springfield, MO 65804-2201 | |
(417) 887-3223 | |
(417) 820-3955 |
Full Name | Dr Matthew A Kienstra |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 28 Years |
Location | 1965 S Fremont Ave, Springfield, 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 |
---|---|---|---|
1740329671 | NPI | - | NPPES |
160592001 | Medicaid | AR | |
200586204 | Medicaid | MO | |
204558 | Other | MO | MO BLUE SHIELD |
83878 | Other | AR | ARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 2006003278 (Missouri) | Secondary |
207YS0123X | Otolaryngology - Facial Plastic Surgery | 2006003278 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Springfield | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Springfield Communities | 7416865845 | 933 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew A Kienstra, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Matthew A Kienstra, MD 1965 S Fremont Ave, Suite 120, Springfield, MO 65804-2201 Ph: (417) 887-3223 |
David Rhea Gilley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 960 E Walnut Lawn St Ste 102, Springfield, MO 65807 Phone: 417-875-3000 | |
Dr. Rebecca Wiley, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 960 E Walnut Lawn St Ste 102, Springfield, MO 65807 Phone: 417-875-3600 | |
Dr. A. Daniel Pinheiro, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-5750 Fax: 417-820-5066 | |
Jeffrey Richard Fenwick, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 960 E Walnut Lawn St, Suite 102, Springfield, MO 65807 Phone: 417-875-3600 Fax: 417-875-3612 | |
Anthony A Bentley, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 960 E Walnut Lawn St, Suite 102, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3625 | |
Dr. Erich Mertensmeyer, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Ste 520, Springfield, MO 65804 Phone: 417-820-5750 Fax: 417-820-5066 | |
Dr. Allan L. Allphin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-5750 Fax: 417-820-5066 |