| Craig Lee Boswell, MD | |
|
1001 E Primrose St, Springfield, MO 65807-7006 | |
| (417) 875-3462 | |
| Not Available |
| Full Name | Craig Lee Boswell |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 29 Years |
| Location | 1001 E Primrose St, Springfield, 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 |
|---|---|---|---|
| 1487613378 | NPI | - | NPPES |
| 205298110 | Medicaid | MO | |
| 1256 | Other | MO | BLUE |
| 205298128 | Medicaid | MO | |
| P00191393 | Other | MO | RRR MEDICARE |
| 143642001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2001010847 (Missouri) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 2001010847 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Centers | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lester E Cox Medical Centers | 8628092897 | 242 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760405864 PECOS PAC ID: 8628092897 Enrollment ID: O20060116000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Lee Boswell, MD Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 875-3462 | Craig Lee Boswell, MD 1001 E Primrose St, Springfield, MO 65807-7006 Ph: (417) 875-3462 |
Michael R Fancher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 Fax: 417-269-5556 | |
Ryan Michael Hegg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-9216 | |
Dr. Jordan C Page, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-9729 Fax: 417-820-6471 | |
Tracy Lynn Roberts, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3850 S National Ave, Suite 300, Springfield, MO 65807 Phone: 417-269-6170 Fax: 417-269-6992 | |
Dr. Bryan Su-hyun Jeun, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 | |
Dr. Christopher Fleighton Estes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2055 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-2468 Fax: 417-820-7794 | |
Martin Mazen Anbari, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 Fax: 417-269-5556 |