| Brian J Ipsen, MD | |
|
3302 Mcintosh Cir Ste 2, Joplin, MO 64804-3639 | |
| (417) 347-6100 | |
| (417) 347-6109 |
| Full Name | Brian J Ipsen |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 27 Years |
| Location | 3302 Mcintosh Cir Ste 2, Joplin, 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 |
|---|---|---|---|
| 1851371769 | NPI | - | NPPES |
| 207327206 | Medicaid | MO | |
| 20033009F | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 2000164182 (Missouri) | Primary |
| 207X00000X | Orthopaedic Surgery | 04-29574 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Specialty Hospital Southeast Kansas | Galena, KS | Hospital |
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Via Christi Hospital Pittsburg Inc | Pittsburg, KS | Hospital |
| Labette Health | Parsons, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Joplin Llc | 0547300196 | 238 |
| Mercy Clinic Joplin Llc | 0547300196 | 238 |
| Entity Name | Mercy Clinic Joplin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J Ipsen, MD Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-8400 | Brian J Ipsen, MD 3302 Mcintosh Cir Ste 2, Joplin, MO 64804-3639 Ph: (417) 347-6100 |
Michael James Tucker Jr, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Mcclelland Blvd, Joplin, MO 64804 Phone: 417-347-5400 Fax: 417-347-5709 | |
Andrew Blake Collette, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-5400 | |
Dr. David L Black, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Mcclelland Blvd, Joplin, MO 64804 Phone: 417-781-2807 Fax: 417-781-3309 | |
Dr. Toby G Moore, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3302 Mcintosh Cir Ste 2, Joplin, MO 64804 Phone: 417-347-6100 Fax: 417-347-6109 | |
Dr. Todd Joseph Twiss, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Mcclelland Blvd, Joplin, MO 64804 Phone: 417-347-5400 Fax: 417-347-5709 | |
Dr. Kerry Glen Jepsen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-8757 | |
Dr. Thomas D Mcclain, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3126 S Jackson Ave, Suite 200, Joplin, MO 64804 Phone: 417-625-2278 Fax: 417-625-2277 |