| Missouri State University | |
|
715 S Florence Springfield MO 65897 | |
| (417) 836-4000 | |
| (417) 836-4133 |
| Full Name | Missouri State University |
|---|---|
| Speciality | Family Medicine |
| Location | 715 S Florence, Springfield, Missouri |
| Authorized Official Name and Position | Clara Lynette Walker (BUSINESS OFFICE COORDINATOR) |
| Authorized Official Contact | 4178364040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri State University 901 S National Missouri State University Springfield MO 65897-0001 Ph: (417) 836-4000 | Missouri State University 715 S Florence Springfield MO 65897 Ph: (417) 836-4000 |
| NPI Number | 1073600334 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 11/01/2018 |
| Medicare PECOS PAC ID | 7214919661 |
|---|---|
| Medicare Enrollment ID | O20040601001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073600334 | NPI | - | NPPES |
| Provider Name | Maria A Mendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457397671 PECOS PAC ID: 9436054459 Enrollment ID: I20031203000568 |
| Provider Name | Donald P Kratz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225135171 PECOS PAC ID: 5294789434 Enrollment ID: I20050311000322 |
| Provider Name | Marta R Mortensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538112883 PECOS PAC ID: 6305883760 Enrollment ID: I20050418000040 |
| Provider Name | Don L Brockman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356384242 PECOS PAC ID: 0345271672 Enrollment ID: I20050826000321 |
| Provider Name | Susan W Essman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750469102 PECOS PAC ID: 2466478466 Enrollment ID: I20051019000567 |
| Provider Name | Robert D Heath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992720940 PECOS PAC ID: 2365445020 Enrollment ID: I20060818000029 |
| Provider Name | Robert W Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841390598 PECOS PAC ID: 0244332955 Enrollment ID: I20070227000562 |
| Provider Name | Tobey Kay Cronnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851309033 PECOS PAC ID: 0941262893 Enrollment ID: I20080920000067 |
| Provider Name | Jennifer A Mcnay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861574816 PECOS PAC ID: 5294867545 Enrollment ID: I20100721000935 |
| Provider Name | Monte D Maska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669512836 PECOS PAC ID: 2860525334 Enrollment ID: I20100804000580 |
| Provider Name | Filip J Garrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104912542 PECOS PAC ID: 3274667019 Enrollment ID: I20100817000097 |
| Provider Name | Mary A Wardell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790862845 PECOS PAC ID: 1254465990 Enrollment ID: I20100817000115 |
| Provider Name | Frederick D Muegge |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376639716 PECOS PAC ID: 6800804402 Enrollment ID: I20100817000702 |
| Provider Name | Lori J Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760404230 PECOS PAC ID: 4688582547 Enrollment ID: I20100928001516 |
| Provider Name | Shana K Delvecchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043397169 PECOS PAC ID: 4981891108 Enrollment ID: I20101214000100 |
| Provider Name | Ernest E Emmerton |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1407860786 PECOS PAC ID: 2062600547 Enrollment ID: I20101228000513 |
| Provider Name | Linda L Skolnick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447256029 PECOS PAC ID: 1456676824 Enrollment ID: I20150205001030 |
| Provider Name | Daniela Novotny |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467695304 PECOS PAC ID: 3476838038 Enrollment ID: I20170322000138 |
| Provider Name | Gwendolyn Ann Broyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497282008 PECOS PAC ID: 6800134222 Enrollment ID: I20190211001497 |
| Provider Name | Sara L Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831554955 PECOS PAC ID: 8224331756 Enrollment ID: I20190308002619 |
| Provider Name | Gloria Damien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669508107 PECOS PAC ID: 1850569070 Enrollment ID: I20190820003570 |
| Provider Name | Eunice W Gititu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821352766 PECOS PAC ID: 7214176163 Enrollment ID: I20200928002598 |
| Provider Name | Jill A Trotman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720610256 PECOS PAC ID: 2769894526 Enrollment ID: I20201219000127 |
| Provider Name | Lori A Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083628499 PECOS PAC ID: 1456327162 Enrollment ID: I20211013003017 |
Breaking The Mental Chains, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1522 E Camino Alto St, Springfield, MO 65804 Phone: 417-894-2731 Fax: 417-890-7757 | |
Springfield Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3863a S Campbell Ave, Springfield, MO 65807 Phone: 417-882-2211 | |
Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2135 S Eastgate Ave, Springfield, MO 65809 Phone: 417-221-6252 | |
Murrell Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1358 E Kingsley St Ste B, Springfield, MO 65804 Phone: 417-881-1580 Fax: 417-881-7004 | |
Krm Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 S Broadway Ave, Springfield, MO 65807 Phone: 417-838-9461 | |
Integrative Family Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1147 E Walnut St, Springfield, MO 65806 Phone: 417-848-9054 | |
Preferred Family Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 S Glenstone Ave, Springfield, MO 65804 Phone: 417-869-8911 Fax: 417-864-3087 |