Lori R Breedlove, MD | |
1300 E Bradford Pkwy, Springfield, MO 65804-4264 | |
(417) 761-5000 | |
(417) 761-5011 |
Full Name | Lori R Breedlove |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1300 E Bradford Pkwy, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568468452 | NPI | - | NPPES |
206697708 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | R3K31 (Missouri) | Primary |
Entity Name | Burrell, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
Entity Name | Missouri State University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073600334 PECOS PAC ID: 7214919661 Enrollment ID: O20040601001151 |
Mailing Address | Practice Location Address |
---|---|
Lori R Breedlove, MD 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 269-5400 | Lori R Breedlove, MD 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000 |
Dr. Jayaprabha Vijaykumar Lafontaine, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011 | |
Dr. Charles Alan Thomas, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011 | |
Rohit Saha, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011 | |
Balkozar S Adam, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011 | |
Papaiah Sreepada, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Suite 900, Springfield, MO 65807 Phone: 417-875-3000 | |
Dr. Dennis P. Dobard Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1721 W Elfindale Street, Springfield, MO 65807 Phone: 417-708-9089 Fax: 417-708-9089 | |
Lilian Casupang, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-269-5400 Fax: 417-269-7212 |