| Dr Gary T Gillham, DO | |
|
1229 E Seminole St, Suite 420, Springfield, MO 65804-2227 | |
| (417) 820-9393 | |
| (417) 820-9725 |
| Full Name | Dr Gary T Gillham |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 22 Years |
| Location | 1229 E Seminole 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 |
|---|---|---|---|
| 1245386333 | NPI | - | NPPES |
| PENDING | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 36122133 (Illinois) | Secondary |
| 207W00000X | Ophthalmology | 2008023553 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary T Gillham, DO Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 820-2000 | Dr Gary T Gillham, DO 1229 E Seminole St, Suite 420, Springfield, MO 65804-2227 Ph: (417) 820-9393 |
Warren Patrick Collins, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1342 E Primrose St, Suite B, Springfield, MO 65804 Phone: 417-869-3200 Fax: 417-869-3212 | |
Thomas G Prater, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1265 E Primrose St, Springfield, MO 65804 Phone: 417-886-3937 Fax: 417-886-1285 | |
Dr. Daniel R Osborn, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804 Phone: 417-887-3900 Fax: 417-887-3221 | |
C Byron Faulkner, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1330 E Kingsley St, Springfield, MO 65804 Phone: 417-887-1965 Fax: 417-887-6499 | |
Dr. James A. Gessler, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-9393 Fax: 417-820-9725 | |
Dr. Shachar Tauber, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-9393 Fax: 417-820-9725 | |
Dr. Brendon Delport, DO Ophthalmology Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4003 Fax: 417-875-4782 |