| Dr Mark Darl Brecheisen Jr, DO | |
|
3801 S National Ave, Springfield, MO 65807-5210 | |
| (417) 269-6583 | |
| Not Available |
| Full Name | Dr Mark Darl Brecheisen Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 3801 S National Ave, Springfield, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740503416 | NPI | - | NPPES |
| 209646009 | Medicaid | MO | |
| 1740503416 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2011026828 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 2011026828 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nevada Regional Medical Center | Nevada, MO | Hospital |
| Cedar County Memorial Hospital | El dorado springs, MO | Hospital |
| Labette Health | Parsons, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedar County Memorial Hospital | 7315841129 | 11 |
| Nevada City Hospital | 9830095280 | 73 |
| Labette County Medical Center | 5496664369 | 59 |
| Entity Name | Nevada City Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942283866 PECOS PAC ID: 9830095280 Enrollment ID: O20031208001009 |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891809679 PECOS PAC ID: 8325942253 Enrollment ID: O20040107000022 |
| Entity Name | Cedar County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619090404 PECOS PAC ID: 7315841129 Enrollment ID: O20040120000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Darl Brecheisen Jr, DO Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 875-3000 | Dr Mark Darl Brecheisen Jr, DO 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-6583 |
Janel M Ochse, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
Gregory J Kutter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6583 Fax: 417-269-6573 | |
Douglas Scott Ham, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6583 Fax: 417-269-6573 | |
Daryl Thomas Steen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
Dr. David Darmsteadter, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2115 | |
Jeremy O'shea, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 Fax: 417-269-6573 | |
Dr. Jacob Lee Spain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 |