| Keith R Allen, MD | |
|
2115 S Fremont Ave, Ste 5000, Springfield, MO 65804-2239 | |
| (417) 820-3960 | |
| Not Available |
| Full Name | Keith R Allen |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 34 Years |
| Location | 2115 S Fremont Ave, 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 |
|---|---|---|---|
| 1134186901 | NPI | - | NPPES |
| 1134186901 | Medicaid | MO | |
| P01222589 | Other | MO | RR MCR |
| 199362001 | Medicaid | AR | |
| 431560263 | Other | MO | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2013025450 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith R Allen, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Keith R Allen, MD 2115 S Fremont Ave, Ste 5000, Springfield, MO 65804-2239 Ph: (417) 820-3960 |
Dr. Dante Caleb-samuel Dali, DO, FACS Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3960 | |
Anh-thu Hoang Le, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
Matthew C. Parmley, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 400, Springfield, MO 65807 Phone: 417-875-3000 | |
Dr. Hersh S Maniar, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St Ste 2c, Springfield, MO 65804 Phone: 417-820-3960 | |
Dr. James N. Pinckley, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1900 S. National, Suite 3400, Springfield, MO 65804 Phone: 417-820-3960 Fax: 417-820-3966 | |
Bruce Jones, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave Ste 5000, Springfield, MO 65804 Phone: 417-820-3960 |