| Jason Stubbs, | |
|
1230 E Kingsley St Ste A&b, Springfield, MO 65804-7211 | |
| (417) 336-0033 | |
| (855) 710-6552 |
| Full Name | Jason Stubbs |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1230 E Kingsley St Ste A&b, 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 |
|---|---|---|---|
| 1205402351 | NPI | - | NPPES |
| 2023013806 | Other | MO | MEDICAL LICENSE |
| PA9115844 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology And Mohs Surgery Skin Cancer Center | 8527447945 | 8 |
| Entity Name | Mercy Hospital Cassville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20040120000164 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
| Entity Name | Mercy Hospital Lebanon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447284898 PECOS PAC ID: 7214829019 Enrollment ID: O20040907000806 |
| Entity Name | Mercy Hospital Springfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242159 PECOS PAC ID: 7416867593 Enrollment ID: O20050118000038 |
| Entity Name | Dermatology and Mohs Surgery Skin Cancer Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124763479 PECOS PAC ID: 8527447945 Enrollment ID: O20220615001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Stubbs, 110 Business Park Dr Ste C, Branson, MO 65616-7449 Ph: (417) 336-0033 | Jason Stubbs, 1230 E Kingsley St Ste A&b, Springfield, MO 65804-7211 Ph: (417) 336-0033 |
Meredith Teresa Mcamis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 |
Taylor Pilkington, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3801 S National Ave Ste 900, Springfield, MO 65807 Phone: 417-875-3000 |
Mr. Jason Shaver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3114 Fax: 417-875-3922 |
Erin H York, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3808 S Greystone Ct, Springfield, MO 65804 Phone: 417-889-3332 Fax: 417-881-1141 |
Mrs. Autumn Lynn Bertholdi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3850 S National Ave Ste 705, Springfield, MO 65807 Phone: 417-900-3407 Fax: 417-889-0476 |
Devin B Moore, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-5400 Fax: 417-820-7129 |
Siena Lauren Andrus, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2115 S Fremont Ave Ste 5000, Springfield, MO 65804 Phone: 417-820-3912 |