Jennie L Gorham, DO | |
3555 S National Ave, #302, Springfield, MO 65807-7310 | |
(417) 269-6868 | |
(417) 269-6865 |
Full Name | Jennie L Gorham |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 33 Years |
Location | 3555 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 |
---|---|---|---|
1730166257 | NPI | - | NPPES |
1730166257 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | DO100997 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeasthealth | Cape girardeau, MO | Hospital |
Ozarks Medical Center | West plains, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Missouri Hospital Physicians Llc | 9133024334 | 185 |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
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 |
---|---|
Jennie L Gorham, DO Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-5712 | Jennie L Gorham, DO 3555 S National Ave, #302, Springfield, MO 65807-7310 Ph: (417) 269-6868 |
Jessica Anne Hanson, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3555 S National Ave, Springfield, MO 65807 Phone: 417-269-6868 | |
Dr. Julia E Griesemer, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-8364 Fax: 417-820-7136 | |
Logan Prescott, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3545 S National Ave, Springfield, MO 65807 Phone: 417-269-3282 | |
Dr. Jesse W Neeley, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5904 S Southwood Rd, Springfield, MO 65804 Phone: 877-749-7428 Fax: 512-628-3314 | |
Dr. Charles C Mauldin Jr., M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1308 N Glenstone Ave, Springfield, MO 65802 Phone: 417-864-4100 Fax: 417-863-8697 | |
Dr. Ronald J Pak, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2364 Fax: 417-820-7136 | |
Dr. Thomas B. Corsolini, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3520 S Culpepper Circle Ste. D, Springfield, MO 65804 Phone: 417-882-7500 Fax: 417-881-2840 |