Bryan Robert Green, MD | |
3817 S Springfield Ave Ste 140, Bolivar, MO 65613-9129 | |
(417) 422-4769 | |
Not Available |
Full Name | Bryan Robert Green |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 3817 S Springfield Ave Ste 140, Bolivar, 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 |
---|---|---|---|
1295791366 | NPI | - | NPPES |
49561031 | Other | MO | BCBSKC |
1295791366 | Medicaid | MO | |
P00273140 | Other | MO | RR MEDICARE |
201084370A | Medicaid | KS | |
1295791366 | Medicaid | IA | |
1295791366 | Other | MO | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2005034471 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mosaic Life Care Home Health | Saint joseph, MO | Home health agency |
Mosaic Life Care Hospice | Saint joseph, MO | Hospice |
Ssm Health St. Francis Hospital- Maryville | Maryville, MO | Hospital |
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mosaic Medical Center - Maryville | 3678813896 | 89 |
Performance Plus Rehabilitation Center Llc | 5294791695 | 84 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Entity Name | Mosaic Medical Center - Maryville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
Mailing Address | Practice Location Address |
---|---|
Bryan Robert Green, MD 3817 S Springfield Ave Ste 140, Bolivar, MO 65613-9129 Ph: (417) 422-4769 | Bryan Robert Green, MD 3817 S Springfield Ave Ste 140, Bolivar, MO 65613-9129 Ph: (417) 422-4769 |
Kristopher J Kaufmann, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-7676 Fax: 417-326-3939 | |
Mrs. Laura C Vance, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
George J Heinz Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 N. Oakland Ave., Bolivar, MO 65613 Phone: 417-328-6631 | |
Juris Peteris Simanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 W. Parkview Street, Suite 2d, Bolivar, MO 65613 Phone: 417-777-2663 Fax: 417-777-2666 | |
Dr. Kayla Kittle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 | |
Julie Henson, Family Medicine Medicare: Medicare Enrolled Practice Location: Bolivar Family Care Center, 1240 North Butterfield Road, Bolivar, MO 65613 Phone: 417-326-6021 |