| David B Wilson, MD | |
|
4000 Cambridge St Ste G600, Kansas City, KS 66160-8500 | |
| (913) 588-9600 | |
| Not Available |
| Full Name | David B Wilson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 4000 Cambridge St Ste G600, Kansas City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659484145 | NPI | - | NPPES |
| 100859 | Other | KS | BCBS KS OUTREACH CLINICS |
| 100501041 | Other | MO | BCBS KC |
| 100201750D | Medicaid | KS | |
| 202109708 | Medicaid | MO | |
| 100201750C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 2004017284 (Missouri) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 04-19259 (Kansas) | Primary |
| Entity Name | Mid-america Cardiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467406306 PECOS PAC ID: 7012801103 Enrollment ID: O20040210000723 |
| Mailing Address | Practice Location Address |
|---|---|
| David B Wilson, MD 4000 Cambridge St Ste G600, Kansas City, KS 66160-8501 Ph: (913) 588-9600 | David B Wilson, MD 4000 Cambridge St Ste G600, Kansas City, KS 66160-8500 Ph: (913) 588-9600 |
Micholee Beth Polsak, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, 6040 Delp, Ms 1020, Kansas University Physicians Inc, Kansas City, KS 66160 Phone: 913-588-3974 Fax: 913-588-6055 | |
Victoria Noelle Kunkel, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 1028, Kansas City, KS 66160 Phone: 913-588-6035 | |
Ariel Lee Barnhart, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160 Phone: 913-588-3974 | |
Ira William Marsh, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 | |
Dr. Tara L Lin, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-6030 Fax: 913-588-4085 | |
Kristin N Fee, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160 Phone: 913-588-3974 Fax: 913-588-6055 | |
Dr. Jacob Gregory Hodge, MD, PHD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-5000 |