Mandalyn J Mills, DO | |
802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | |
(816) 671-4888 | |
(816) 671-4890 |
Full Name | Mandalyn J Mills |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 802 N Riverside Rd Ste G50, Saint Joseph, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548780844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101023019 (Michigan) | Secondary |
208600000X | Surgery | 2022016390 (Missouri) | Primary |
Entity Name | Heartland Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
Entity Name | Mosaic Medical Center - Maryville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
Mailing Address | Practice Location Address |
---|---|
Mandalyn J Mills, DO 5301 Faraon St Ste 120, Saint Joseph, MO 64506-3512 Ph: (816) 671-4888 | Mandalyn J Mills, DO 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 Ph: (816) 671-4888 |
Thomas William Mcewan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5204 N Belt Hwy, Saint Joseph, MO 64506 Phone: 816-383-8180 Fax: 816-233-3983 | |
Jonathan Amspacher, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5204 N Belt Hwy, Saint Joseph, MO 64506 Phone: 816-383-8180 Fax: 816-233-3983 | |
Dr. William Steven Long, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 802 N Riverside Rd, Suite G 50, Saint Joseph, MO 64507 Phone: 816-271-6666 Fax: 816-271-1300 | |
Rafael Alvarez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507 Phone: 816-671-4888 Fax: 816-671-4890 | |
Gillian Leray Jones, Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Heartland Rd Ste 1810, Saint Joseph, MO 64506 Phone: 816-271-7546 Fax: 816-271-7531 | |
Dr. George Dale Mulder, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 802 N Riverside Rd., Ste G50, Saint Joseph, MO 64507 Phone: 816-671-4888 Fax: 816-671-4890 |