Dr Jeffrey David Baller, DPM | |
2600 Kanell Blvd, Poplar Bluff, MO 63901-3001 | |
(573) 785-4546 | |
(573) 785-6959 |
Full Name | Dr Jeffrey David Baller |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2600 Kanell Blvd, Poplar Bluff, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710981519 | NPI | - | NPPES |
1710981519 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 2009020599 (Missouri) | Primary |
Provider Name | Clint Lee Vanlandingham |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1508838566 PECOS PAC ID: 7719961937 Enrollment ID: I20040615001819 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey David Baller, DPM 2600 Kanell Blvd, Poplar Bluff, MO 63901-3001 Ph: (573) 785-4546 | Dr Jeffrey David Baller, DPM 2600 Kanell Blvd, Poplar Bluff, MO 63901-3001 Ph: (573) 785-4546 |
Norman H Buchman & Assoc Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1899 N Westwood Blvd, Suite C Room 187, Poplar Bluff, MO 63901 Phone: 978-335-8344 | |
Andrew G. Fischer, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4691 | |
Coppertop Foot And Ankle Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 2600 Kanell Blvd, Poplar Bluff, MO 63901 Phone: 573-785-4546 | |
Dr. Norman H Buchman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1899 N Westwood Blvd, Suite C Room 187, Poplar Bluff, MO 63901 Phone: 978-335-8344 | |
Dr. Richard Armen Amundsen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2600 Kanell Blvd, Poplar Bluff, MO 63901 Phone: 573-785-4546 Fax: 573-785-6959 | |
Dr. Zackwrie S Parr, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2002 Kanell Blvd, Suite 201, Poplar Bluff, MO 63901 Phone: 573-785-4959 Fax: 573-785-6405 | |
Dr. Kevin M Renner, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 102, Poplar Bluff, MO 63901 Phone: 573-785-4546 Fax: 573-785-6959 |