Dr Susan Alexandria Woody, DO | |
1911 S National Ave, Suite 301, Springfield, MO 65804-2219 | |
(417) 886-5000 | |
(417) 886-1100 |
Full Name | Dr Susan Alexandria Woody |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 24 Years |
Location | 1911 S National Ave, Springfield, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053408484 | NPI | - | NPPES |
150376003 | Medicaid | AR | |
390008238 | Other | MO | RAILROAD MEDICARE |
405634 | Other | MO | HEALTHLINK PROVIDER |
243850716 | Medicaid | MO | |
163193 | Other | MO | BLUE CROSS BLUE SHIELD |
005012599 | Other | MO | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 112946 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc - Springfield North | Springfield, MO | Dialysis facility |
Fmc - Lebanon | Lebanon, MO | Dialysis facility |
Fmc - Springfield Midwest | Springfield, MO | Dialysis facility |
Mercy Hospital Springfield | Springfield, MO | Hospital |
Mercy Hospital Lebanon | Lebanon, MO | Hospital |
Cox Medical Centers | Springfield, MO | Hospital |
Medstar Georgetown University Hospital | Washington, DC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Nephrology Associates Inc | 6901905553 | 13 |
Entity Name | Springfield Nephrology Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942324488 PECOS PAC ID: 6901905553 Enrollment ID: O20070621000516 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan Alexandria Woody, DO 1911 S National Ave, Suite 301, Springfield, MO 65804-2219 Ph: (417) 886-5000 | Dr Susan Alexandria Woody, DO 1911 S National Ave, Suite 301, Springfield, MO 65804-2219 Ph: (417) 886-5000 |
Dr. Mark H. Grimm, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Dr. Sridevi Durga, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295 | |
Bradley D Wiley, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |