| Dr Lori J Wilson, MD | |
|
1235 E Cherokee St, Springfield, MO 65804-2203 | |
| (417) 820-2961 | |
| (417) 820-7790 |
| Full Name | Dr Lori J Wilson |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| 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 |
|---|---|---|---|
| 1588671861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 101340 (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 Lori J Wilson, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Lori J Wilson, MD 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2961 |
James Mason Shelley Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4647 Fax: 417-269-8078 | |
Mary Kay Vaske, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Pathology, Springfield, MO 65804 Phone: 417-820-6850 Fax: 417-820-7790 | |
Dr. Steven E. Collum, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 Fax: 417-820-7790 | |
Ms. Cassie Lee Booth, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 | |
Jason Singh, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 | |
Geoffrey Glenn Herndon, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4646 | |
Jon D Lorenzino, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 607 W Battlefield St, Springfield, MO 65807 Phone: 417-869-2000 Fax: 417-881-1850 |