| Dr Kofi Asare-bawuah, MD | |
| 3801 S National Ave, Springfield, MO 65807-5210 | |
| (417) 269-7728 | |
| (417) 269-7729 | 
| Full Name | Dr Kofi Asare-bawuah | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 3801 S National Ave, 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 | 
|---|---|---|---|
| 1730345323 | NPI | - | NPPES | 
| 1533626 | Medicaid | TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 50147 (Tennessee) | Secondary | 
| 208000000X | Pediatrics | L1320199 (Michigan) | Secondary | 
| 208000000X | Pediatrics | 2011020098 (Missouri) | Primary | 
| Entity Name | Cox-monett Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669687125 PECOS PAC ID: 0345236667 Enrollment ID: O20040521000080 | 
| 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: 1902969272 PECOS PAC ID: 5799787784 Enrollment ID: O20070215000622 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kofi Asare-bawuah, MD Po Box 802843, Kansas City, MO 64180-2843 Ph: (417) 269-5712 | Dr Kofi Asare-bawuah, MD 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-7728 | 
| 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 |