Michael Grant Selby, MD | |
101 Skaggs Rd, Ste 302, Branson, MO 65616-2062 | |
(417) 334-8288 | |
(417) 334-6966 |
Full Name | Michael Grant Selby |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 16 Years |
Location | 101 Skaggs Rd, Ste 302, Branson, 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 |
---|---|---|---|
1346494192 | NPI | - | NPPES |
212205001 | Medicaid | AR | |
2000014075 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2014008959 (Missouri) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 2014008959 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Harrison Dialysis | Harrison, AR | Dialysis facility |
Branson Dialysis | Branson, MO | Dialysis facility |
Cox Medical Center Branson | Branson, MO | Hospital |
North Arkansas Regional Medical Center | Harrison, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Branson Nephrology Llc | 0840250585 | 7 |
Branson Nephrology Llc | 0840250585 | 7 |
Entity Name | Branson Nephrology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427025212 PECOS PAC ID: 0840250585 Enrollment ID: O20041016000027 |
Mailing Address | Practice Location Address |
---|---|
Michael Grant Selby, MD 101 Skaggs Rd Ste 302, Branson, MO 65616-2062 Ph: (417) 334-8288 | Michael Grant Selby, MD 101 Skaggs Rd, Ste 302, Branson, MO 65616-2062 Ph: (417) 334-8288 |
Mark J Jarek, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 525 Branson Landing Blvd Ste 301, Branson, MO 65616 Phone: 417-348-8253 Fax: 417-337-8992 | |
Dr. Habib G Munshi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 875 E State Highway 76, Branson, MO 65616 Phone: 417-334-5864 Fax: 417-334-4978 | |
Cody B Hoeflicker, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 525 Branson Landing Blvd Ste 201a, Branson, MO 65616 Phone: 417-335-7128 Fax: 417-348-8007 | |
David Augusto Sotello Aviles, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 525 Branson Landing Blvd Ste 306, Branson, MO 65616 Phone: 417-335-7559 Fax: 417-348-8429 | |
Dr. Alexander R. Hover, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 525 Branson Landing Blvd, Branson, MO 65616 Phone: 417-348-8080 Fax: 417-334-3038 | |
John Ray Martinez, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 101 Skaggs Rd, Suite 302, Branson, MO 65616 Phone: 417-334-8288 Fax: 417-334-6966 | |
Dwight Patrick Zabel, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 101 Skaggs Rd, Suite 302, Branson, MO 65616 Phone: 417-334-8288 Fax: 417-334-6966 |