Dr Jack Leon Gregston, MD in Springfield, MO - Medicare Radiology

Dr Jack Leon Gregston, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Springfield, Missouri. His current practice location is 1235 E Cherokee St, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-2500.

Dr Jack Leon Gregston is licensed to practice in Missouri (license number 104377) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225177447.

Contact Information

	Dr Jack Leon Gregston, MD
	1235 E Cherokee St, Springfield, MO 65804-2203
	(417) 820-2500
	(417) 820-8155

Physician's Profile

Full Name	Dr Jack Leon Gregston
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1235 E Cherokee St, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225177447
Provider Enumeration Date: 02/05/2007
Last Update Date: 04/27/2009

Medicare PECOS Information:

PECOS PAC ID: 3274581442
Enrollment ID: I20050225000014

Medical Identifiers

Medical identifiers for Dr Jack Leon Gregston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225177447	NPI	-	NPPES
173098	Other	MO	MO BLUE SHIELD
134038001	Medicaid	AR
C94989	Other		UPIN
206769218	Medicaid	MO
81773	Other	AR	AR BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	104377 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack Leon Gregston allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jack Leon Gregston, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620	Dr Jack Leon Gregston, MD 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2500

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Radiology Doctors in Springfield, MO

Michael R Fancher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 Fax: 417-269-5556
Ryan Michael Hegg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-9216
Dr. Jordan C Page, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-9729 Fax: 417-820-6471
Tracy Lynn Roberts, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3850 S National Ave, Suite 300, Springfield, MO 65807 Phone: 417-269-6170 Fax: 417-269-6992
Dr. Bryan Su-hyun Jeun, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056
Dr. Christopher Fleighton Estes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2055 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-2468 Fax: 417-820-7794
Martin Mazen Anbari, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 Fax: 417-269-5556

Dr Jack Leon Gregston, MD - Medicare Radiology in Springfield, MO

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Data scientists use Zhores supercomputer to identify the severity of COVID-19

ARGO Medical partners with YASKAWA for global expansion of ReWalk exoskeleton device

FDA sets new PDUFA date for AstraZeneca's ticagrelor

National MS Society launches We Keep Moving campaign to capture stories of people living with MS

Cartilage transplants used to repair damaged shoulder joints

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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FDA sets new PDUFA date for AstraZeneca's ticagrelor

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Cartilage transplants used to repair damaged shoulder joints

Radiology Doctors in Springfield, MO