Michael J Wurm, MD | |
2016 S Main St, Maryville, MO 64468-2659 | |
(660) 562-2525 | |
(660) 562-4050 |
Full Name | Michael J Wurm |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2016 S Main St, Maryville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679578884 | NPI | - | NPPES |
0991968 | Medicaid | IA | |
201722303 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R5C38 (Missouri) | Primary |
Entity Name | Mosaic Medical Center - Maryville |
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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 |
---|---|
Michael J Wurm, MD 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525 | Michael J Wurm, MD 2016 S Main St, Maryville, MO 64468-2659 Ph: (660) 562-2525 |
Mikaila Wallace, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7996 | |
Dr. Sally A. Bomar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Dr. Dallas Mullock, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2332 S Main St, Maryville, MO 64468 Phone: 660-562-2223 Fax: 660-562-2230 | |
Dr. Brian D. Golightly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Alison Sporleder, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 | |
Charles S Fillingane Ii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2336 S Main St Lowr Level, Maryville, MO 64468 Phone: 660-220-2123 Fax: 660-562-7911 | |
Bryan Robert Green, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-7999 Fax: 660-562-7996 |