| Dr Sally A Bomar, MD | |
|
2016 S Main St, Maryville, MO 64468-2655 | |
| (660) 562-2525 | |
| (660) 562-4303 |
| Full Name | Dr Sally A Bomar |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 2016 S Main St, Maryville, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043212228 | NPI | - | NPPES |
| 0984591 | Medicaid | IA | |
| 208078311 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 105981 (Missouri) | Primary |
| 207Q00000X | Family Medicine | 31578 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mosaic Life Care Home Health | Saint joseph, MO | Home health agency |
| Community Home Health And Restorative Care | Fairfax, MO | Home health agency |
| Three Rivers Hospice | Platte city, MO | Hospice |
| Mosaic Life Care Hospice | Saint joseph, MO | Hospice |
| Hospice Partners | Kansas city, MO | Hospice |
| Aseracare Hospice | Kansas city, MO | Hospice |
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Mosaic Medical Center Albany | Albany, MO | Hospital |
| Maryville Living Center | Maryville, MO | Nursing home |
| Village Care Center Inc | Maryville, MO | Nursing home |
| Nodaway Nursing Home | Maryville, MO | Nursing home |
| Parkdale Manor Care Center | Maryville, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mosaic Medical Center - Maryville | 3678813896 | 73 |
| Ssm Regional Health Services | 8921917352 | 133 |
| Entity Name | Mosaic Medical Center - Maryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sally A Bomar, MD 114 East South Hills Dr., Maryville, MO 64468-2659 Ph: (660) 562-2525 | Dr Sally A Bomar, MD 2016 S Main St, Maryville, MO 64468-2655 Ph: (660) 562-2525 |
Mikaila Wallace, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7996 | |
Dr. Dallas Mullock, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2332 S Main St, Maryville, MO 64468 Phone: 660-562-2223 Fax: 660-562-2230 | |
Dr. Brian D. Golightly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Charles S Fillingane Ii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2336 S Main St Lowr Level, Maryville, MO 64468 Phone: 660-220-2123 Fax: 660-562-7911 | |
Bryan Robert Green, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-7999 Fax: 660-562-7996 | |
Dr. Patrick S. Dawson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7993 |