Dr Sean A Mcenaney, MD | |
1100 W 10th St, Suite 175, Rolla, MO 65401-2937 | |
(573) 341-9163 | |
(573) 368-4248 |
Full Name | Dr Sean A Mcenaney |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1100 W 10th St, Rolla, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700923943 | NPI | - | NPPES |
203766407 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 108228 (Missouri) | Primary |
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Mailing Address | Practice Location Address |
---|---|
Dr Sean A Mcenaney, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Sean A Mcenaney, MD 1100 W 10th St, Suite 175, Rolla, MO 65401-2937 Ph: (573) 341-9163 |
James T Burdett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-6694 | |
Dr. Elizabeth C Dodd, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 910 W 10th St, Rolla, MO 65409 Phone: 573-341-4284 | |
Shawna C Gifford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-3643 | |
Jonathan Lee Minor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 910 W 10th St, Rolla, MO 65409 Phone: 573-342-4284 Fax: 573-341-6967 | |
Shruti Sinha, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2484 | |
Dr. Jennifer Anne Barclay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1605 Martin Springs Dr Ste 250, Rolla, MO 65401 Phone: 573-458-6363 |