Dr John Kendall Ethridge Jr, MD - Medicare Obstetrics/gynecology in Springfield, MO

Dr John Kendall Ethridge Jr, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Springfield, Missouri. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Lester E Cox Medical Centers and his current practice location is 1000 E Primrose St Ste 360, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 269-4037.

Dr John Kendall Ethridge Jr is licensed to practice in Missouri (license number 2018009510) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306042619.

Contact Information

Dr John Kendall Ethridge Jr, MD
1000 E Primrose St Ste 360,
Springfield, MO 65807
(417) 269-4037
(417) 269-6139



Physician's Profile

Full NameDr John Kendall Ethridge Jr
GenderMale
SpecialityObstetrics/gynecology
Experience19 Years
Location1000 E Primrose St Ste 360, Springfield, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Kendall Ethridge Jr graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1306042619
  • Provider Enumeration Date: 06/23/2007
  • Last Update Date: 07/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5496939894
  • Enrollment ID: I20180706000145

Medical Identifiers

Medical identifiers for Dr John Kendall Ethridge Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306042619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 51003 (Tennessee)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 2018009510 (Missouri)Primary
207V00000XObstetrics & Gynecology 25614 (Oklahoma)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lester E Cox Medical Centers1254248917262

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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 John Kendall Ethridge Jr allows following entities to bill medicare on his behalf.
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538334396
PECOS PAC ID: 1254248917
Enrollment ID: O20050624000293

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Kendall Ethridge Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Kendall Ethridge Jr, MD
Po Box 4046,
Springfield, MO 65808-4046

Ph: (417) 269-5712
Dr John Kendall Ethridge Jr, MD
1000 E Primrose St Ste 360,
Springfield, MO 65807

Ph: (417) 269-4037

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Obstetrics & Gynecology Doctors in Springfield, MO

Dr. Michael P. Smith-o'brien, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1900 S National Ave, Suite 2970, Springfield, MO 65804
Phone: 417-820-3980    Fax: 417-820-3988
Roy Robert Reid Iii, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 5407 E Riverview St, Springfield, MO 65809
Phone: 417-827-3911    
Dr. Staci Dawn Rogers, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 3800 S National Ave Ste 700, Springfield, MO 65807
Phone: 417-269-8817    Fax: 417-269-8744
Dr. Megan Christine Rooney Thompson,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3850 S National Ave Ste 400, Springfield, MO 65807
Phone: 417-269-6850    Fax: 417-269-5830
Dr. Laird A. Bell, M.D., MPH
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1423 N Jefferson Ave, #b100, Springfield, MO 65802
Phone: 417-269-8825    Fax: 417-269-8744
Dr. Thomas M. Shultz, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Primrose St, Suite 270, Springfield, MO 65807
Phone: 417-882-6900    Fax: 417-882-8912
Dr. Andy J. Wright, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2828 N National Ave, Springfield, MO 65803
Phone: 417-837-4000    Fax: 417-875-4710

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