Mercy Clinic-smith Glynn Callaway is a
Durable Medical Equipment & Medical Supplies based in Springfield, Missouri. Mercy Clinic-smith Glynn Callaway is licensed to practice in Missouri (license number 102991) and their current practice location is
3231 S National Ave, Springfield, Missouri. It can be reached at their office (for appointments etc.) via phone at
(417) 883-7422.
NPI number for Mercy Clinic-smith Glynn Callaway is 1407913676 and their current mailing address is Po Box 2580, Springfield, Missouri. Mercy Clinic-smith Glynn Callaway
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1407913676.
Healthcare Provider's Profile
| Full Name | Mercy Clinic-smith Glynn Callaway |
|---|
| Type | Facility |
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| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 3231 S National Ave, Springfield, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407913676
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 02/07/2012
Medical Identifiers
Medical identifiers for Mercy Clinic-smith Glynn Callaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407913676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | T002235 (Missouri) | Secondary |
| 207K00000X | Allergy & Immunology | 105723 (Missouri) | Secondary |
| 207N00000X | Dermatology | R8F16 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | R3B79 (Missouri) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | R9348 (Missouri) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | R8331 (Missouri) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 108358 (Missouri) | Secondary |
| 208000000X | Pediatrics | R5004 (Missouri) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 102991 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mercy Clinic-smith Glynn Callaway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mercy Clinic-smith Glynn Callaway
Po Box 2580,
Springfield, MO 65801-2580
Ph: (417) 829-4620 | Mercy Clinic-smith Glynn Callaway
3231 S National Ave,
Springfield, MO 65807-7304
Ph: (417) 883-7422 |
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