Dr Matthew Justin Bruner, DO | |
1235 E Cherokee St, Springfield, MO 65804-2203 | |
(417) 982-0168 | |
(417) 820-8852 |
Full Name | Dr Matthew Justin Bruner |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 20 Years |
Location | 1235 E Cherokee St, 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 |
---|---|---|---|
1386798189 | NPI | - | NPPES |
200662760A | Medicaid | OK | |
P01787086 | Other | MO | RAIL ROAD MEDICARE |
216316003 | Medicaid | AR | |
1386798189 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 05-34533 (Kansas) | Secondary |
207L00000X | Anesthesiology | 2005025705 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Luke's South Hospital | Overland park, KS | Hospital |
St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Entity Name | Saint Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20050302000266 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Justin Bruner, DO 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 982-0168 | Dr Matthew Justin Bruner, DO 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 982-0168 |
Dr. Dawn E Zablocki, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Jeffrey Gunderson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550 | |
Dr. David M Delahay Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Dr. Claude Merrill Ashby, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-6863 | |
Dr. Youssef Y. Yassa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Dr. Steven A Ellis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Kent Schaller, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550 |