| Dr Jonathan A Mikail, MD | |
|
1000 E Primrose St, Springfield, MO 65807-5154 | |
| (417) 269-9812 | |
| (417) 269-2129 |
| Full Name | Dr Jonathan A Mikail |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1000 E Primrose 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 |
|---|---|---|---|
| 1205196912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C10011901 (Delaware) | Secondary |
| 208000000X | Pediatrics | 2015021635 (Missouri) | Primary |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447324660 PECOS PAC ID: 5799787784 Enrollment ID: O20070206000541 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669923884 PECOS PAC ID: 1254248917 Enrollment ID: O20161206000652 |
| Entity Name | Cox-monett Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205387289 PECOS PAC ID: 0345236667 Enrollment ID: O20161213002029 |
| Entity Name | Skaggs Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255870853 PECOS PAC ID: 5092624320 Enrollment ID: O20170310001975 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan A Mikail, MD Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-5712 | Dr Jonathan A Mikail, MD 1000 E Primrose St, Springfield, MO 65807-5154 Ph: (417) 269-9812 |
Dr. Alan Dare Tong, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4350 S National Ave, Suite C 100, Springfield, MO 65810 Phone: 417-447-4700 Fax: 417-447-4701 | |
Quinton Alexander Barnes, Pediatrics Medicare: Medicare Enrolled Practice Location: 3253 E Chestnut Expy Ste 210a, Springfield, MO 65802 Phone: 417-885-2200 | |
Michael Stephen Hanks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 E Primrose, Ste 320, Springfield, MO 65807 Phone: 417-269-2300 Fax: 417-269-2315 | |
Matthew C Lundien, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Ste 220, Springfield, MO 65804 Phone: 417-820-9055 | |
Dr. Melinda Rae Slack, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3219 | |
Brittany Nicole Montavon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6184 Fax: 417-269-4608 | |
Nicole Marie Kucera, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3443 S National Ave, Springfield, MO 65807 Phone: 417-269-2000 Fax: 417-269-2038 |