| Mr Benjamin Malonzo, AA | |
|
1235 E Cherokee St, Springfield, MO 65804-2203 | |
| (417) 522-5383 | |
| Not Available |
| Full Name | Mr Benjamin Malonzo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 14 Years |
| Location | 1235 E Cherokee St, 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 |
|---|---|---|---|
| 1881944957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 2023018541 (Missouri) | Primary |
| 367H00000X | Anesthesiologist Assistant | 1442 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjamin Malonzo, AA 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 522-5383 | Mr Benjamin Malonzo, AA 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 522-5383 |
Charis Denovi, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 | |
Asher Herbet, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 | |
Kayla Conner Gibson, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 520, Springfield, MO 65807 Phone: 417-269-4550 | |
Taylor G Harris, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St, Springfield, MO 65807 Phone: 417-269-4550 | |
Corrine Calzone, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 520, Springfield, MO 65807 Phone: 417-269-4550 | |
Brittany Anderson, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 | |
Jonathan D Brady, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 |