| Andi J Selby, DO | |
|
202 E 50th St, Joplin, MO 64804-4920 | |
| (417) 556-3400 | |
| (417) 556-3401 |
| Full Name | Andi J Selby |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 202 E 50th St, Joplin, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740444728 | NPI | - | NPPES |
| 201136300A | Medicaid | KS | |
| 200632650A | Medicaid | OK | |
| 1740444728 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2016007045 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Branson Dialysis | Branson, MO | Dialysis facility |
| Cox Medical Center Branson | Branson, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Branson Nephrology Llc | 0840250585 | 6 |
| Skaggs Community Hospital Association | 5092624320 | 153 |
| Entity Name | Branson Nephrology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427025212 PECOS PAC ID: 0840250585 Enrollment ID: O20041016000027 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Andi J Selby, DO 202 E 50th St, Joplin, MO 64804-4920 Ph: (417) 556-3400 | Andi J Selby, DO 202 E 50th St, Joplin, MO 64804-4920 Ph: (417) 556-3400 |
Dr. Justin James Dillingham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3126 S Jackson Ave, Ste 101, Joplin, MO 64804 Phone: 417-208-3465 | |
Michael D David, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1130 E 32nd St, Joplin, MO 64804 Phone: 417-347-2273 Fax: 417-347-2277 | |
Dr. Stephen Ray Thomas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Cir, Ste 302, Joplin, MO 64804 Phone: 417-347-8525 Fax: 417-347-8536 | |
Dennis Younker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 702 E 34th St Ste 202, Joplin, MO 64804 Phone: 417-347-2535 Fax: 417-347-2553 | |
Dr. Maria Fe Fiel Bruce, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3126 S Jackson Ave, Suite 201, Joplin, MO 64804 Phone: 417-781-4727 Fax: 417-627-8727 | |
Shuruk Haib, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2216 E 32nd St Ste 101, Joplin, MO 64804 Phone: 417-556-2780 Fax: 417-556-2781 | |
Dr. Noureddine El Moghrabi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 |