| Dr Cortlandt Mercy Sellers, MD | |
| 
					3850 S National Ave Ste 300, Springfield, MO 65807-5287  | |
| (417) 269-6170 | |
| (417) 269-6992 | 
| Full Name | Dr Cortlandt Mercy Sellers | 
|---|---|
| Gender | Female | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 3850 S National Ave Ste 300, Springfield, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578025532 | NPI | - | NPPES | 
| 200140175 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2023049071 (Missouri) | Primary | 
| Entity Name | Washington University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987  | 
| Entity Name | Miracl Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Cortlandt Mercy Sellers, MD 1414 E Primrose St Ste 100, Springfield, MO 65804-4283 Ph: (417) 882-1207  | Dr Cortlandt Mercy Sellers, MD 3850 S National Ave Ste 300, Springfield, MO 65807-5287 Ph: (417) 269-6170  | 
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  |