| Dr Raffaele Pennella, MD | |
|
3808 S Greystone Ct, Springfield, MO 65804 | |
| (417) 889-3332 | |
| (417) 881-1410 |
| Full Name | Dr Raffaele Pennella |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 35 Years |
| Location | 3808 S Greystone Ct, 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 |
|---|---|---|---|
| 1558400788 | NPI | - | NPPES |
| 156123001 | Medicaid | AR | |
| 208269902 | Medicaid | MO | |
| 81292 | Other | AR | ARK BLUE SHIELD |
| 31905 | Other | MO | MO BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 110288 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Centers | Springfield, MO | Hospital |
| Entity Name | Craig Naugle Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386678522 PECOS PAC ID: 7214013606 Enrollment ID: O20080326000137 |
| Entity Name | Raffaele Pennella Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568992782 PECOS PAC ID: 3870863756 Enrollment ID: O20170726000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raffaele Pennella, MD 3808 S Greystone Ct, Springfield, MO 65804 Ph: (417) 889-3332 | Dr Raffaele Pennella, MD 3808 S Greystone Ct, Springfield, MO 65804 Ph: (417) 889-3332 |
Michael S Causey, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3462 | |
Craig W. Naugle, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3808 S. Greystone Ct., Springfield, MO 65804 Phone: 417-889-3332 Fax: 417-881-1410 | |
Catherine L Laughlin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1536 E Primrose St, Springfield, MO 65804 Phone: 417-882-1818 | |
Daphne K Anderson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 | |
Dr. James Howard Swann, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4474 Irish Ivy, Springfield, MO 65804 Phone: 417-291-2104 | |
Michael Kremer, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3850 S National Ave Ste 705, Springfield, MO 65807 Phone: 417-888-0858 Fax: 417-889-0476 | |
Dr. Gene M. Schoonmaker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-885-0803 Fax: 417-841-0110 |