| Jordan Phenicie, PA | |
|
3555 S National Ave, Springfield, MO 65807-7310 | |
| (417) 875-3800 | |
| Not Available |
| Full Name | Jordan Phenicie |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 3555 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 |
|---|---|---|---|
| 1114428547 | NPI | - | NPPES |
| 220051881 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2018003312 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Centers | Springfield, MO | Hospital |
| Cox Monett Hospital | Monett, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lester E Cox Medical Centers | 8628092897 | 224 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Phenicie, PA Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 875-3000 | Jordan Phenicie, PA 3555 S National Ave, Springfield, MO 65807-7310 Ph: (417) 875-3800 |
Meredith Teresa Mcamis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 | |
Mr. Jason Shaver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3114 Fax: 417-875-3922 | |
Erin H York, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3808 S Greystone Ct, Springfield, MO 65804 Phone: 417-889-3332 Fax: 417-881-1141 | |
Mrs. Autumn L. Bertholdi, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3850 S National Ave Ste 705, Springfield, MO 65807 Phone: 417-888-0858 Fax: 417-889-0476 | |
Devin B Moore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-5400 Fax: 417-820-7129 | |
Jeffrey Christian Ellis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2150 W Republic Rd Ste 112, Springfield, MO 65807 Phone: 417-986-1291 | |
Miguel Angel Medina, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 South Sunshine Ave., Springfield, MO 65807 Phone: 417-862-7041 |