| Dr Jeffrey J Mutchler, DO | |
|
331 Hospital Dr Ste A, Lebanon, MO 65536-9251 | |
| (417) 533-6560 | |
| (417) 533-6580 |
| Full Name | Dr Jeffrey J Mutchler |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 35 Years |
| Location | 331 Hospital Dr Ste A, Lebanon, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205946449 | NPI | - | NPPES |
| 248152712 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 109471 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Regional Health System | Osage beach, MO | Hospital |
| Mercy Hospital Lebanon | Lebanon, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lester E Cox Medical Centers | 1254248917 | 298 |
| Lake Regional Medical Management Inc | 3577467323 | 45 |
| Lake Regional Health System | 9133026776 | 114 |
| Entity Name | Lake Regional Medical Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639134158 PECOS PAC ID: 3577467323 Enrollment ID: O20031122000076 |
| 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 |
| Entity Name | Mercy Hospital Lebanon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447284898 PECOS PAC ID: 7214829019 Enrollment ID: O20040907000806 |
| Entity Name | Lake Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey J Mutchler, DO Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Jeffrey J Mutchler, DO 331 Hospital Dr Ste A, Lebanon, MO 65536-9251 Ph: (417) 533-6560 |
Dr. Curtis D Mather, DO Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 331 Hospital Dr, Suite A, Lebanon, MO 65536 Phone: 417-533-6560 Fax: 417-533-6580 |