Dr William Russell Detten, DO | |
1530 E Republic Rd, Springfield, MO 65804-6530 | |
(417) 269-1362 | |
(417) 269-1372 |
Full Name | Dr William Russell Detten |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 1530 E Republic Rd, 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 |
---|---|---|---|
1033229935 | NPI | - | NPPES |
246778419 | Medicaid | MO | |
5716 | Other | BLUE CROSS MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R4P90 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cox Medical Centers | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lester E Cox Medical Centers | 5799787784 | 194 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447324660 PECOS PAC ID: 5799787784 Enrollment ID: O20070206000541 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508928623 PECOS PAC ID: 5799787784 Enrollment ID: O20070213000001 |
Mailing Address | Practice Location Address |
---|---|
Dr William Russell Detten, DO Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-1362 | Dr William Russell Detten, DO 1530 E Republic Rd, Springfield, MO 65804-6530 Ph: (417) 269-1362 |
Shalvinder Kaur Seehra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3525 E Battlefield St, Springfield, MO 65809 Phone: 417-269-1499 Fax: 417-269-1459 | |
Harwinder K Dhanoa, Family Medicine Medicare: Medicare Enrolled Practice Location: 1540 E Evergreen St, Springfield, MO 65803 Phone: 417-823-2900 | |
Thomas E Dahlberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3322 S Campbell Ave Ste T-1, Springfield, MO 65807 Phone: 417-220-4480 Fax: 417-414-0017 | |
Dr. John H Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 280, Springfield, MO 65807 Phone: 417-885-0834 Fax: 417-888-6763 | |
Dr. Jay L Sparks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 220, Springfield, MO 65807 Phone: 417-820-7450 Fax: 417-820-7455 | |
Dr. Conrad Mitchell Bajor, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 |