| Jonathan Lyle Manzer, MD | |
|
3071 S Grand Ave, Carthage, MO 64836-7851 | |
| (417) 358-4811 | |
| (417) 358-4781 |
| Full Name | Jonathan Lyle Manzer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 3071 S Grand Ave, Carthage, 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 |
|---|---|---|---|
| 1407848971 | NPI | - | NPPES |
| 209288406 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2004001464 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integrity Home Care + Hospice | Springfield, MO | Home health agency |
| Mercy Hospital Carthage | Carthage, MO | Hospital |
| Freeman Health System - Freeman West | Joplin, MO | Hospital |
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Nevada Regional Medical Center | Nevada, MO | Hospital |
| Nathan Richard Health Care Center | Nevada, MO | Nursing home |
| Bridgewood Health Care Center | Kansas city, MO | Nursing home |
| Gregory Ridge Health Care Center | Kansas city, MO | Nursing home |
| Edgewood Manor Health Care Center | Raytown, MO | Nursing home |
| Eastview Manor Care Center | Trenton, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcpherson Medical And Diagnostic Llc | 5698773539 | 62 |
| Mcpherson Medical And Diagnostic Llc | 5698773539 | 62 |
| Entity Name | Manzer Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982731444 PECOS PAC ID: 8628058013 Enrollment ID: O20040726000283 |
| Entity Name | Mcpherson Medical & Diagnostic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003407883 PECOS PAC ID: 5698773539 Enrollment ID: O20061201000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Lyle Manzer, MD 3071 S Grand Ave, Carthage, MO 64836-7851 Ph: (417) 358-4811 | Jonathan Lyle Manzer, MD 3071 S Grand Ave, Carthage, MO 64836-7851 Ph: (417) 358-4811 |
Harold A Smart, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 719 W Centenial, Carthage, MO 64836 Phone: 417-359-9502 Fax: 417-358-8660 | |
Jonathan David Haffner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3116 Medical Park Drive, Carthage, MO 64836 Phone: 417-358-7574 | |
Peter Richardson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 719 W Centennial, Carthage, MO 64836 Phone: 417-358-1002 Fax: 417-358-8660 | |
Dr. Richard Frank Williams, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1620 Missouri Ave, Carthage, MO 64836 Phone: 417-358-3411 | |
Roger A. Sacry I, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 S Garrison Ave, Carthage, MO 64836 Phone: 417-359-8646 Fax: 417-359-8344 | |
Lawrence Andrade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Hazel Ave, Carthage, MO 64836 Phone: 417-359-8803 |