| Mr Matthew John Conde, MS, PA-C | |
|
1540 E Evergreen St, Springfield, MO 65803-4300 | |
| (417) 823-2900 | |
| (417) 886-2774 |
| Full Name | Mr Matthew John Conde |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1540 E Evergreen St, 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 |
|---|---|---|---|
| 1982626354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00577 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 2022001110 (Missouri) | Primary |
| 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 | TP Nixa Ops |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972327203 PECOS PAC ID: 0648794255 Enrollment ID: O20250404001049 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew John Conde, MS, PA-C 1540 E Evergreen St, Springfield, MO 65803-4300 Ph: (417) 823-2900 | Mr Matthew John Conde, MS, PA-C 1540 E Evergreen St, Springfield, MO 65803-4300 Ph: (417) 823-2900 |
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 |