Hannah Jacquelyn Miller Bergman, MD | |
3555 S National Ave, Springfield, MO 65807-7310 | |
(417) 875-3000 | |
Not Available |
Full Name | Hannah Jacquelyn Miller Bergman |
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Gender | Female |
Speciality | Plastic Surgery |
Location | 3555 S National Ave, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467847004 | NPI | - | NPPES |
200048601 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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208200000X | Plastic Surgery | 2022028794 (Missouri) | Primary |
Entity Name | Lester E Cox Medical Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760405864 PECOS PAC ID: 8628092897 Enrollment ID: O20060116000342 |
Mailing Address | Practice Location Address |
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Hannah Jacquelyn Miller Bergman, MD Po Box 802843, Kansas City, MO 64180-2843 Ph: () - | Hannah Jacquelyn Miller Bergman, MD 3555 S National Ave, Springfield, MO 65807-7310 Ph: (417) 875-3000 |
Dr. Walter J. Gaska, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-9330 Fax: 417-820-9358 | |
Carl I Price, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3555 S National Ave, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3810 | |
Dr. Rosellen S. Meystrik, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-9330 Fax: 417-820-9358 | |
Dr. Robert Shaw, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3555 S National Ave, Springfield, MO 65807 Phone: 417-875-3000 | |
Dr. Rodney K. Geter, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-9330 Fax: 417-820-9358 | |
Arthur S Hawes, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3555 S National Ave, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3810 |