Jeremy Phillippe Broadnax, MD | |
1229 E Seminole St, Ste 320, Springfield, MO 65804 | |
(417) 820-2064 | |
Not Available |
Full Name | Jeremy Phillippe Broadnax |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 16 Years |
Location | 1229 E Seminole 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 |
---|---|---|---|
1326204611 | NPI | - | NPPES |
200332001 | Medicaid | AR | |
431560263 | Other | MO | TRICARE |
1326204611 | Medicaid | MO | |
P01246688 | Other | MO | RR MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2013031744 (Missouri) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 2013031744 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Springfield | Springfield, MO | Hospital |
Mercy Hospital Lebanon | Lebanon, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Phillippe Broadnax, MD 1229 E Seminole St Ste 320, Springfield, MO 65804-2227 Ph: (417) 820-2064 | Jeremy Phillippe Broadnax, MD 1229 E Seminole St, Ste 320, Springfield, MO 65804 Ph: (417) 820-2064 |
Dr. Dawn E Zablocki, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Jeffrey Gunderson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550 | |
Dr. David M Delahay Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Dr. Claude Merrill Ashby, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-6863 | |
Dr. Youssef Y. Yassa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Dr. Steven A Ellis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Kent Schaller, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550 |