| Dr Jack M Bagby, MD | |
|
1235 E Cherokee St, Springfield, MO 65804-2203 | |
| (417) 820-2829 | |
| (417) 820-8852 |
| Full Name | Dr Jack M Bagby |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1235 E Cherokee St, 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 |
|---|---|---|---|
| 1851437677 | NPI | - | NPPES |
| 200857019 | Medicaid | MO | |
| P00006101 | Other | MO | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | R9148 (Missouri) | Primary |
| 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 Jack M Bagby, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Jack M Bagby, MD 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2829 |
Dr. Dawn E Zablocki, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Jeffrey Gunderson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550 | |
Dr. David M Delahay Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Dr. Claude Merrill Ashby, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-6863 | |
Dr. Youssef Y. Yassa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Dr. Steven A Ellis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Kent Schaller, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550 |