| Todd Phillip Decarlis, PA | |
|
2900 S National Ave, Springfield, MO 65804-3634 | |
| (417) 885-3888 | |
| (417) 881-7638 |
| Full Name | Todd Phillip Decarlis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 2900 S National Ave, 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 |
|---|---|---|---|
| 1598004152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 2013003532 (Missouri) | Primary |
| Entity Name | Dignity Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336588870 PECOS PAC ID: 2062320559 Enrollment ID: O20081223000427 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Phillip Decarlis, PA Po Box 4024, Springfield, MO 65808-4024 Ph: (417) 885-3888 | Todd Phillip Decarlis, PA 2900 S National Ave, Springfield, MO 65804-3634 Ph: (417) 885-3888 |
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 |