MEDICARE: PETER R MARCELLUS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R3E69	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080110697	OTHER		RAILROAD MEDICARE
5	P00237019	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1667	OTHER	COX HEALTH SYSTEMS
4	8068	OTHER	BCBS
6	1107752	OTHER	HEALTHLINK

General Provider Information

NPI Number	:	1629013966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER R MARCELLUS MD

Provider Business Mailing Address
First Line	:	1150 STATE HIGHWAY 248
Second Line	:	STE, 202
City	:	BRANSON
State	:	MO
Zip	:	65616-3758
Country	:	US
Telephone Number	:	417-335-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 STATE HIGHWAY 248
Second Line	:	STE, 202
City	:	BRANSON
State	:	MO
Zip	:	65616-3758
Country	:	US
Telephone Number	:	417-335-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	09/12/2012

Similar Medicare Providers

1588519920 — JERRICA RUSSELL PA-C
Practice Location Address:

1150 STATE HIGHWAY 248
BRANSON, MO
65616-3758

Practice Phone: 417-336-4112
Practice Fax:

1386321826 — DR. CONNIE CELICIA ATCHISON DNP
Practice Location Address:

1150 STATE HIGHWAY 248
BRANSON, MO
65616-3758

Practice Phone: 471-336-4112
Practice Fax:

1881678688 — SKAGGS COMMUNITY HEALTH CENTER AND CLINICS
Practice Location Address:

1150 STATE HIGHWAY 248 , STE. 100
BRANSON, MO
65616-3758

Practice Phone: 417-336-4112
Practice Fax: 417-335-4684

1053355206 — JEREMY D MABE MD
Practice Location Address:

1150 STATE HIGHWAY 248 , STE. 202
BRANSON, MO
65616-3758

Practice Phone: 417-348-8964
Practice Fax: 417-336-0275

1487684015 — DR. JENNIFER L FREEMAN M.D.
Practice Location Address:

1150 STATE HIGHWAY 248 , SUITE 202
BRANSON, MO
65616-3758

Practice Phone: 417-348-8964
Practice Fax: 417-336-0275

1992894331 — MRS. BONNIE BLEVINS R.N.
Practice Location Address:

1150 STATE HIGHWAY 248 , SUITE 200
BRANSON, MO
65616-3758

Practice Phone: 417-336-4112
Practice Fax: 417-335-4684

Directions to “ PETER R MARCELLUS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.