| Dr Pryor Brenner, MD | |
|
960 E Walnut Lawn St Ste 102, Springfield, MO 65807-7865 | |
| (417) 875-3000 | |
| Not Available |
| Full Name | Dr Pryor Brenner |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 23 Years |
| Location | 960 E Walnut Lawn St Ste 102, 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 |
|---|---|---|---|
| 1134242142 | NPI | - | NPPES |
| 200108044 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 01059894A (Indiana) | Secondary |
| 207Y00000X | Otolaryngology | 2022006412 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sibley Memorial Hospital | Washington, DC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chevy Chase Ent Associates, Llc | 0446286314 | 6 |
| Entity Name | Chevy Chase Ent Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497801039 PECOS PAC ID: 0446286314 Enrollment ID: O20050712000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pryor Brenner, MD 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 612-1660 | Dr Pryor Brenner, MD 960 E Walnut Lawn St Ste 102, Springfield, MO 65807-7865 Ph: (417) 875-3000 |
David Rhea Gilley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 | |
Dr. Rebecca Wiley, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3600 | |
Dr. A. Daniel Pinheiro, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-5750 Fax: 417-820-5066 | |
Jeffrey Richard Fenwick, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 960 E Walnut Lawn St, Suite 102, Springfield, MO 65807 Phone: 417-875-3600 Fax: 417-875-3612 | |
Anthony A Bentley, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 000-000-0000 | |
Dr. Erich Mertensmeyer, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Ste 520, Springfield, MO 65804 Phone: 417-820-5750 Fax: 417-820-5066 |