Mahlon Vandelden, MD | |
1000 W Nifong Blvd, Building 3, Suite 100, Columbia, MO 65203-5615 | |
(573) 214-2000 | |
(573) 214-2042 |
Full Name | Mahlon Vandelden |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 32 Years |
Location | 1000 W Nifong Blvd, Columbia, 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 |
---|---|---|---|
1225027907 | NPI | - | NPPES |
065102 | Other | IN | HEALTH ALLIANCE |
P00153580 | Other | IN | RR MEDICARE |
000000045661 | Other | IN | ANTHEM |
000000045661 | Other | KY | ANTHEM |
040013796 | Other | KY | RR MEDICARE |
64341019 | Medicaid | KY | |
382908 | Other | IN | HEALTHLINK |
200181080A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 01048581A (Indiana) | Secondary |
207Y00000X | Otolaryngology | 34110 (Kentucky) | Secondary |
207Y00000X | Otolaryngology | 101110 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boone Hospital Center | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Missouri Ear Nose And Throat Center | 8325112238 | 7 |
Entity Name | Missouri Ear Nose And Throat Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083886972 PECOS PAC ID: 8325112238 Enrollment ID: O20080811000110 |
Mailing Address | Practice Location Address |
---|---|
Mahlon Vandelden, MD 1000 W Nifong Blvd, Building 3, Suite 100, Columbia, MO 65203-5615 Ph: (573) 214-2000 | Mahlon Vandelden, MD 1000 W Nifong Blvd, Building 3, Suite 100, Columbia, MO 65203-5615 Ph: (573) 214-2000 |
Andrea Lee Hanick, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1000 W Nifong Blvd Ste 100, Columbia, MO 65203 Phone: 573-214-2000 | |
Chia-wai David Chang, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 812 N Keene St, Columbia, MO 65201 Phone: 573-817-3000 Fax: 573-876-6950 | |
Dr. David C. Mechlin, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 303 N Keene St, Suite 401, Columbia, MO 65201 Phone: 573-884-2200 Fax: 573-884-8836 | |
Juan Carlos Yanez-siller, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr # Ma314, Columbia, MO 65212 Phone: 573-882-6737 Fax: 573-884-4205 | |
Dr. James S. Denninghoff, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1701 E Broadway, Suite 304, Columbia, MO 65201 Phone: 573-815-0662 Fax: 573-443-1162 | |
Megan Gillespie, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1 Hospital Drive, Ma314 / Dc027.00, Columbia, MO 65212 Phone: 573-882-7935 Fax: 573-884-4205 | |
Derek Singh Mann, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: One Hospital Dr Ma314, Columbia, MO 65212 Phone: 573-884-6031 |