Dr Shannon Smith Prograis, MD | |
1102 W 32nd St, Joplin, MO 64804-3503 | |
(417) 347-1111 | |
Not Available |
Full Name | Dr Shannon Smith Prograis |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | 1102 W 32nd St, Joplin, 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 |
---|---|---|---|
1932589942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2015013506 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Services Midwest Sc | 2769746056 | 24 |
Entity Name | Emergency Services Midwest Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174024806 PECOS PAC ID: 2769746056 Enrollment ID: O20180515000619 |
Mailing Address | Practice Location Address |
---|---|
Dr Shannon Smith Prograis, MD 4332 Lindell Blvd, Saint Louis, MO 63108-2702 Ph: () - | Dr Shannon Smith Prograis, MD 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-1111 |
Clinton R Loy, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-3625 | |
Erika Crawford, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Dr. Earnst Douglas Seifert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 Fax: 417-347-2149 | |
Dr. Richard Marvin Blubaugh, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1102 West 32nd Street, Joplin, MO 64804 Phone: 417-347-1111 Fax: 417-347-2149 | |
Matthew Dwight Grounds, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Michelle Pannell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 Fax: 417-208-3625 | |
Dallin Daniel Elmer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 |