| Bruce Gehrke, MD | |
| 
					5844 Nw Barry Rd Ste 120, Kansas City, MO 64154-1483  | |
| (816) 472-9595 | |
| (816) 472-1132 | 
| Full Name | Bruce Gehrke | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 5844 Nw Barry Rd Ste 120, Kansas City, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619065299 | NPI | - | NPPES | 
| 202487310 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | R3H19 (Missouri) | Primary | 
| 208600000X | Surgery | 04-35928 (Kansas) | Secondary | 
| Entity Name | Saint Lukes Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20050302000266  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bruce Gehrke, MD 901 E 104th St, Mailstop 400, Kansas City, MO 64131 Ph: (816) 502-8755  | Bruce Gehrke, MD 5844 Nw Barry Rd Ste 120, Kansas City, MO 64154-1483 Ph: (816) 472-9595  | 
Steven L Glorsky, MD Surgery Medicare: Medicare Enrolled Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1000  | |
Mrs. Samantha Machen Alsop, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4330 Wornall Rd Ste 50, Kansas City, MO 64111 Phone: 816-931-3312 Fax: 816-531-9862  | |
Karthik Vamanan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4330 Wornall Rd Ste 50, Kansas City, MO 64111 Phone: 816-931-3312 Fax: 816-531-9862  | |
Dr. Ronald John Sharp, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3574 Fax: 816-983-6885  | |
Ms. Rosa Elizabeth Turcios, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2330 E Meyer Blvd, Ste T209, Kansas City, MO 64132 Phone: 816-235-3932 Fax: 877-285-6815  | |
Muzammil Aziz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4330 Wornall Rd Ste 50, Kansas City, MO 64111 Phone: 816-931-3312 Fax: 816-531-9862  | |
Arhana Chattopadhyay, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-701-5200  |