| Brian J Ipsen, MD | |
|
444 Four States Dr, Ste 1, Galena, KS 66379-4325 | |
| (620) 783-4444 | |
| (620) 783-4090 |
| Full Name | Brian J Ipsen |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 26 Years |
| Location | 444 Four States Dr, Galena, Kansas |
| 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) | Secondary |
| 207X00000X | Orthopaedic Surgery | 04-29574 (Kansas) | Primary |
| 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 2546, Joplin, MO 64803-2546 Ph: (620) 783-4444 | Brian J Ipsen, MD 444 Four States Dr, Ste 1, Galena, KS 66379-4325 Ph: (620) 783-4444 |
Dr. Aaron Matthew Weber, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr, Galena, KS 66739 Phone: 620-783-4441 | |
Dr. Toby G Moore, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr Ste 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Jonathan L Grantham, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr, Suite 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Dr. Paul W Toma, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 444 Four States Dr, Suite 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
John T Ogden, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr, Suite 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Andrew John Nelson Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr Ste 1, Galena, KS 66739 Phone: 620-783-4441 |