Mark Luther Carlson, MD | |
1423 N Jefferson Ave, Springfield, MO 65802-1917 | |
(417) 269-2273 | |
(417) 269-8851 |
Full Name | Mark Luther Carlson |
---|---|
Gender | Male |
Speciality | Addiction Medicine |
Experience | 50 Years |
Location | 1423 N Jefferson Ave, 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 |
---|---|---|---|
1528192150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0401X | Internal Medicine - Addiction Medicine | 101949 (Missouri) | Primary |
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 | 1254248917 | 256 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
Entity Name | Bhgxxix Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508277229 PECOS PAC ID: 0648589671 Enrollment ID: O20151014001334 |
Entity Name | Vcphcs Xv Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144666264 PECOS PAC ID: 4486963345 Enrollment ID: O20151016001032 |
Entity Name | Drd Management Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134380405 PECOS PAC ID: 1355651217 Enrollment ID: O20151211000057 |
Entity Name | Skaggs Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346602646 PECOS PAC ID: 5092624320 Enrollment ID: O20160517000289 |
Entity Name | Bhg Xliii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558805754 PECOS PAC ID: 0547694150 Enrollment ID: O20211122002288 |
Entity Name | Bhg Lxxiv Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982315230 PECOS PAC ID: 8527428861 Enrollment ID: O20230718001201 |
Mailing Address | Practice Location Address |
---|---|
Mark Luther Carlson, MD 1423 N Jefferson Ave, Springfield, MO 65802-1917 Ph: (417) 269-2273 | Mark Luther Carlson, MD 1423 N Jefferson Ave, Springfield, MO 65802-1917 Ph: (417) 269-2273 |
Dr. Mark H. Grimm, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Dr. Sridevi Durga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295 | |
Bradley D Wiley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |