| Dr Dallas Mullock, DO | |
|
2332 S Main St, Maryville, MO 64468-3622 | |
| (660) 562-2223 | |
| (660) 562-2230 |
| Full Name | Dr Dallas Mullock |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 2332 S Main St, Maryville, 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 |
|---|---|---|---|
| 1134504012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2015023403 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Home Health And Restorative Care | Fairfax, MO | Home health agency |
| Hospice Partners | Kansas city, MO | Hospice |
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Mosaic Medical Center Albany | Albany, MO | Hospital |
| Nodaway Nursing Home | Maryville, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mullock Health Care Llc | 4587091541 | 2 |
| Entity Name | Mullock Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881224707 PECOS PAC ID: 4587091541 Enrollment ID: O20200304000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dallas Mullock, DO 2332 S Main St, Maryville, MO 64468-3622 Ph: (660) 562-2223 | Dr Dallas Mullock, DO 2332 S Main St, Maryville, MO 64468-3622 Ph: (660) 562-2223 |
Mikaila Wallace, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7996 | |
Dr. Sally A. Bomar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Dr. Brian D. Golightly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Charles S Fillingane Ii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2336 S Main St Lowr Level, Maryville, MO 64468 Phone: 660-220-2123 Fax: 660-562-7911 | |
Bryan Robert Green, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-7999 Fax: 660-562-7996 | |
Dr. Patrick S. Dawson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7993 |