| Thomas E Dahlberg, MD | |
|
3322 S Campbell Ave Ste T-1, Springfield, MO 65807-4980 | |
| (417) 220-4480 | |
| (417) 414-0017 |
| Full Name | Thomas E Dahlberg |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 44 Years |
| Location | 3322 S Campbell Ave Ste T-1, 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 |
|---|---|---|---|
| 1013013093 | NPI | - | NPPES |
| 500128969 | Medicaid | MO | |
| 080170409 | Other | RR MEDICARE | |
| 1013013093 | Medicaid | MO | |
| 207984428 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | MD104392 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | MD104392 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Preferred Hospice Of Missouri (southwest), Llc | Ozark, MO | Hospice |
| Seasons Hospice, Inc | Springfield, MO | Hospice |
| Regional Hospice | Springfield, MO | Hospice |
| Transitions Hospice Llc | Bolivar, MO | Hospice |
| Good Shepherd Hospice Of Springfield, Llc | Springfield, MO | Hospice |
| Manor At Elfindale, The | Springfield, MO | Nursing home |
| Neighborhoods At Quail Creek, The | Springfield, MO | Nursing home |
| Hartville Care Center | Hartville, MO | Nursing home |
| Point Lookout Nursing & Rehab | Hollister, MO | Nursing home |
| Forsyth Care Center | Forsyth, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Professional Providers, Llc | 1254792740 | 6 |
| Sgoh Acquisition Inc | 5092616276 | 74 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
| Entity Name | Elite Professional Providers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891488433 PECOS PAC ID: 1254792740 Enrollment ID: O20230731003920 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Dahlberg, MD 3322 S Campbell Ave Ste T-1, Springfield, MO 65807-4980 Ph: (417) 220-4480 | Thomas E Dahlberg, MD 3322 S Campbell Ave Ste T-1, Springfield, MO 65807-4980 Ph: (417) 220-4480 |
Shalvinder Kaur Seehra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3525 E Battlefield St, Springfield, MO 65809 Phone: 417-269-1499 Fax: 417-269-1459 | |
Harwinder K Dhanoa, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 E Evergreen St, Springfield, MO 65803 Phone: 417-823-2900 | |
Dr. John H Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 280, Springfield, MO 65807 Phone: 417-885-0834 Fax: 417-888-6763 | |
Dr. Jay L Sparks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 220, Springfield, MO 65807 Phone: 417-820-7450 Fax: 417-820-7455 | |
Dr. Conrad Mitchell Bajor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 | |
Dr. William Russell Detten, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1530 E Republic Rd, Springfield, MO 65804 Phone: 417-269-1362 Fax: 417-269-1372 |