Anne Amelia Smid, MD | |
3850 S National Ave, Suite 300, Springfield, MO 65807-5287 | |
(417) 269-6170 | |
(417) 269-6992 |
Full Name | Anne Amelia Smid |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 3850 S National Ave, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902865702 | NPI | - | NPPES |
202568002 | Medicaid | MO | |
116200001 | Medicaid | AR | |
P00807647 | Other | MO | MEDICARE RAILROAD |
1256 | Other | MO | BLUE |
300042828 | Other | RRR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | R5H25 (Missouri) | Primary |
Entity Name | Physicians For Breast Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063748929 PECOS PAC ID: 2062554462 Enrollment ID: O20100123000017 |
Mailing Address | Practice Location Address |
---|---|
Anne Amelia Smid, MD Po Box 3262, Springfield, MO 65808-3262 Ph: (417) 885-3888 | Anne Amelia Smid, MD 3850 S National Ave, Suite 300, Springfield, MO 65807-5287 Ph: (417) 269-6170 |
Michael R Fancher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 Fax: 417-269-5556 | |
Ryan Michael Hegg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-9216 | |
Dr. Jordan C Page, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-9729 Fax: 417-820-6471 | |
Tracy Lynn Roberts, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3850 S National Ave, Suite 300, Springfield, MO 65807 Phone: 417-269-6170 Fax: 417-269-6992 | |
Dr. Bryan Su-hyun Jeun, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 | |
Dr. Christopher Fleighton Estes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2055 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-2468 Fax: 417-820-7794 | |
Martin Mazen Anbari, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 Fax: 417-269-5556 |