Christopher Michael Daggett, DO | |
3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 | |
(816) 246-0800 | |
(816) 246-6613 |
Full Name | Christopher Michael Daggett |
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Gender | Male |
Speciality | Surgery |
Location | 3460 Ne Ralph Powell Rd, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306846092 | NPI | - | NPPES |
214851302 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R8872 (Missouri) | Primary |
Entity Name | Advanced Surgical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598913287 PECOS PAC ID: 0244393023 Enrollment ID: O20090106000576 |
Mailing Address | Practice Location Address |
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Christopher Michael Daggett, DO 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 Ph: (816) 246-0800 | Christopher Michael Daggett, DO 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 Ph: (816) 246-0800 |
Sheliza Kabani, Surgery Medicare: Medicare Enrolled Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 310-954-7874 | |
Dr. Austin J Wagner, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3600 Ne Ralph Powell Rd Ste D, Lees Summit, MO 64064 Phone: 816-675-0920 | |
Christie Michelle Brock, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613 | |
Adam Paul Kramer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613 | |
Adam Jay Swiger, DO Surgery Medicare: Medicare Enrolled Practice Location: 2861 Ne Independence Ave Ste 205, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613 | |
Dr. David Rene Mantilla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3600 Ne Ralph Powell Rd Ste D, Lees Summit, MO 64064 Phone: 816-675-0920 |