Dr Matthew Blair Mccoy, OD | |
1229 E Seminole St Ste 430, Springfield, MO 65804-2227 | |
(417) 820-9393 | |
Not Available |
Full Name | Dr Matthew Blair Mccoy |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 11 Years |
Location | 1229 E Seminole St Ste 430, 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 |
---|---|---|---|
1063854610 | NPI | - | NPPES |
D17792 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1929DT (Kentucky) | Secondary |
152W00000X | Optometrist | 1779 (South Carolina) | Secondary |
152W00000X | Optometrist | 2018040909 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Provider Name | Mercy Clinic Springfield Communities |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Blair Mccoy, OD 1229 E Seminole St Ste 430, Springfield, MO 65804-2227 Ph: (417) 820-9393 | Dr Matthew Blair Mccoy, OD 1229 E Seminole St Ste 430, Springfield, MO 65804-2227 Ph: (417) 820-9393 |
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