Dr Chad Jeremy Potter, MD | |
3801 South National, Springfield, MO 65807 | |
(417) 269-4056 | |
(417) 269-5556 |
Full Name | Dr Chad Jeremy Potter |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 18 Years |
Location | 3801 South National, 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 |
---|---|---|---|
1972547180 | NPI | - | NPPES |
1256 | Other | MO | BLUE |
150984001 | Medicaid | AR | |
201291606 | Medicaid | MO | |
P00419521 | Other | MO | RRR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2006015225 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Citizens Memorial Hospital | Bolivar, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Citizens Memorial Hospital District | 2769574433 | 27 |
Entity Name | Citizens Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Jeremy Potter, MD 1550 E Republic Rd, Springfield, MO 65804-6530 Ph: (417) 889-6102 | Dr Chad Jeremy Potter, MD 3801 South National, Springfield, MO 65807 Ph: (417) 269-4056 |
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 |