| Dr Mark J Walterskirchen, MD | |
|
1965 S Fremont Ave, Suite 370, Springfield, MO 65804-2201 | |
| (417) 820-0300 | |
| (417) 882-9645 |
| Full Name | Dr Mark J Walterskirchen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 34 Years |
| Location | 1965 S Fremont 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 |
|---|---|---|---|
| 1083637524 | NPI | - | NPPES |
| 340017773 | Other | MO | RR MEDICARE PROV. # |
| 1083637524 | Other | MO | NPI # |
| 204964605 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00048487 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citizens Memorial Hospital | Bolivar, MO | Hospital |
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Citizens Memorial Healthcare | 4183528169 | 108 |
| 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 |
| Entity Name | Citizens Memorial Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark J Walterskirchen, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Mark J Walterskirchen, MD 1965 S Fremont Ave, Suite 370, Springfield, MO 65804-2201 Ph: (417) 820-0300 |
Jennifer A Malossi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3381 Fax: 417-875-3690 | |
Robert Clayton Scanlon Ii, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 | |
Dr. Barry S Farber, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3850 S National Ave, Suite 320, Springfield, MO 65807 Phone: 417-269-6944 Fax: 417-269-6947 | |
Tyrun Keith Richardson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Ste 370, Springfield, MO 65804 Phone: 417-820-0300 | |
Howard W Follis, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3690 | |
David A Anderson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3381 |