Mark David Nicolas, | |
3800 S National Ave Ste 600, Springfield, MO 65807-5249 | |
(417) 875-3000 | |
Not Available |
Full Name | Mark David Nicolas |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 9 Years |
Location | 3800 S National Ave Ste 600, 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 |
---|---|---|---|
1447645221 | NPI | - | NPPES |
200100628 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | 2021027694 (Missouri) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Cox Medical Centers | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lester E Cox Medical Centers | 8628092897 | 224 |
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 |
---|---|
Mark David Nicolas, Po Box 802843, Kansas City, MO 64180-2843 Ph: () - | Mark David Nicolas, 3800 S National Ave Ste 600, Springfield, MO 65807-5249 Ph: (417) 875-3000 |
Matthew E Simpson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 761 S Hickory Ter, Springfield, MO 65809 Phone: 417-894-6536 | |
Zachary C Schmittling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Springfield, MO 65807 Phone: 417-875-3700 Fax: 417-875-3737 | |
Dr. Robert M Cavagnol, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 100, Springfield, MO 65804 Phone: 417-820-3800 Fax: 417-820-3810 | |
Timothy D Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3245 | |
Charles W Dunn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 S Delaware Ave, Springfield, MO 65804 Phone: 417-860-7743 Fax: 417-269-7567 | |
James Gibson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 S Ridge Dr, Springfield, MO 65809 Phone: 417-887-2342 | |
Dr. Dante Caleb-samuel Dali, DO, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3960 |