Tyler Bray, | |
3801 S National Ave, Springfield, MO 65807-5210 | |
(417) 269-6583 | |
Not Available |
Full Name | Tyler Bray |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 11 Years |
Location | 3801 S National 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 |
---|---|---|---|
1790191807 | NPI | - | NPPES |
0122178 | Medicaid | OH | |
1790191807 | Medicaid | MO | |
200050802 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34.012018 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 2017040033 (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 | 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 |
---|---|
Tyler Bray, Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 269-6583 | Tyler Bray, 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-6583 |
Janel M Ochse, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
Gregory J Kutter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6583 Fax: 417-269-6573 | |
Douglas Scott Ham, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6583 Fax: 417-269-6573 | |
Daryl Thomas Steen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
Dr. David Darmsteadter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2115 | |
Jeremy O'shea, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 Fax: 417-269-6573 | |
Dr. Jacob Lee Spain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 |