Jeffrey Richard Fenwick, MD | |
960 E Walnut Lawn St, Suite 102, Springfield, MO 65807-7506 | |
(417) 875-3600 | |
(417) 875-3612 |
Full Name | Jeffrey Richard Fenwick |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 39 Years |
Location | 960 E Walnut Lawn 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 |
---|---|---|---|
1306846407 | NPI | - | NPPES |
152998 | Medicaid | SC | |
200282606 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 15294 (South Carolina) | Secondary |
207Y00000X | Otolaryngology | 2005041177 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cox Medical Centers | Springfield, MO | Hospital |
Cox Monett Hospital | Monett, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lester E Cox Medical Centers | 8628092897 | 224 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760405864 PECOS PAC ID: 8628092897 Enrollment ID: O20060116000342 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Richard Fenwick, MD 960 E Walnut Lawn St, Suite 102, Springfield, MO 65807-7506 Ph: (417) 875-3000 | Jeffrey Richard Fenwick, MD 960 E Walnut Lawn St, Suite 102, Springfield, MO 65807-7506 Ph: (417) 875-3600 |
David Rhea Gilley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 960 E Walnut Lawn St Ste 102, Springfield, MO 65807 Phone: 417-875-3000 | |
Dr. Rebecca Wiley, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 960 E Walnut Lawn St Ste 102, Springfield, MO 65807 Phone: 417-875-3600 | |
Dr. A. Daniel Pinheiro, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-5750 Fax: 417-820-5066 | |
Anthony A Bentley, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 960 E Walnut Lawn St, Suite 102, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3625 | |
Dr. Erich Mertensmeyer, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Ste 520, Springfield, MO 65804 Phone: 417-820-5750 Fax: 417-820-5066 | |
Dr. Allan L. Allphin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-5750 Fax: 417-820-5066 |