Misty M. Phillips
M.D. | Pediatrics | Female
Misty M. Phillips, M.D. is a Springfield, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Misty M. Phillips is
2532 Farragut Dr, Springfield, Illinois - 62704-1433. She can be contacted on phone at
217-528-7541.
Misty M. Phillips is a sole proprietor of her business.
NPI number (Unique professional ID) for Misty M. Phillips is
1053461657 which was assigned by NPPES on 12 Jan, 2007 and it was last updated on 21 May, 2020.
Misty M. Phillips license number is
036117503 for Pediatrics (208000000X) in Illinois.
Misty M. Phillips is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Misty M. Phillips basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Misty M. Phillips |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Misty M. Phillips address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2532 Farragut Dr
Springfield, IL, 62704-1433
United States |
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| Phone Number : | 217-528-7541 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053461657 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jan, 2007 |
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| Last Updated On : | 21 May, 2020 |
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Medicare Participation:
Misty M. Phillips participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7911183561 |
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| Medicare Enrollment ID : | I20160607001695 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Southern Illinois University School Of Medicine |
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| Graduation Year : | 2004 |
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| Accepts Medicare? | Yes. Misty M. Phillips accepts medicare insurance. |
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Group Practice Association:
Misty M. Phillips is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Misty M. Phillips is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Springfield Clinic Llp | 0547166076 | 658 | 2532 Farragut Dr
Springfield, IL - 627041433
Ph: 2175287541 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Misty M. Phillips are as mentioned. Primary taxonomy code for Misty M. Phillips, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036117503 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Misty M. Phillips such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036117503 | MEDICAID | IL | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mistyphillips@sfc.allscriptsdirect.net
| No affiliation |
|
| 2532 FARRAGUT DR,
SPRINGFIELD, IL, 62704-1433
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1025 S 6th St
Springfield, IL, 62703-2403
United States |
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| Phone Number : | 217-528-7541 |
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Business Location:
Patients can refer following map for directions to
Misty M. Phillips practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.