| Kyle Steven John, MD | |
|
3023 S Fort Ave, Springfield, MO 65807-5196 | |
| (417) 605-7100 | |
| (417) 771-3723 |
| Full Name | Kyle Steven John |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3023 S Fort 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 |
|---|---|---|---|
| 1518031699 | NPI | - | NPPES |
| 1518031699 | Medicaid | MO | |
| NP0487800 | Medicaid | AR | |
| 100178800A | Medicaid | OK | |
| P00700779 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2000158907 (Missouri) | Primary |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | The Arc Of The Ozarks |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285906107 PECOS PAC ID: 7810159332 Enrollment ID: O20120430000480 |
| Entity Name | Mercy Aco Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Steven John, MD 2864 S Nettleton Ave, Springfield, MO 65807-5970 Ph: (417) 874-1906 | Kyle Steven John, MD 3023 S Fort Ave, Springfield, MO 65807-5196 Ph: (417) 605-7100 |
Dr. Jayaprabha Vijaykumar Lafontaine, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Bradford Pkwy Bldg A, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011 | |
Dr. Charles Alan Thomas, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011 | |
Rohit Saha, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011 | |
Balkozar S Adam, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011 | |
Papaiah Sreepada, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Suite 900, Springfield, MO 65807 Phone: 417-875-3000 | |
Dr. Dennis P. Dobard Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1721 W Elfindale Street, Springfield, MO 65807 Phone: 417-708-9089 Fax: 417-708-9089 | |
Lilian Casupang, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-269-5400 Fax: 417-269-7212 |