| Jennifer A Malossi, MD | |
|
1001 E Primrose St, Springfield, MO 65807-5155 | |
| (417) 875-3381 | |
| (417) 875-3690 |
| Full Name | Jennifer A Malossi |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 1001 E Primrose St, Springfield, 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 |
|---|---|---|---|
| 1003903550 | NPI | - | NPPES |
| 1003903550 | Medicaid | MO | |
| 200044423 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 228628-1 (New York) | Secondary |
| 208800000X | Urology | 2017017909 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Centers | Springfield, MO | Hospital |
| Freeman Health System - Freeman West | Joplin, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeman-oak Hill Health System | 8325942253 | 341 |
| Lester E Cox Medical Centers | 8628092897 | 242 |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| 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 |
|---|---|
| Jennifer A Malossi, MD Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 875-3000 | Jennifer A Malossi, MD 1001 E Primrose St, Springfield, MO 65807-5155 Ph: (417) 875-3381 |
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 | |
Dr. Mark J. Walterskirchen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 370, Springfield, MO 65804 Phone: 417-820-0300 Fax: 417-882-9645 | |
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 |