| Dr Bob E Green, MD | |
|
19550 E 39th St S, Suite 227, Independence, MO 64057-2303 | |
| (816) 795-9716 | |
| (816) 795-6358 |
| Full Name | Dr Bob E Green |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 19550 E 39th St S, Independence, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316946544 | NPI | - | NPPES |
| 100286810H | Medicaid | KS | |
| 1316946544 | Medicaid | MO | |
| 208692103 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MO112759 (Missouri) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 04-25504 (Kansas) | Primary |
| Entity Name | Shawnee Mission Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
| Entity Name | Adventhealth Ransom Memorial Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407319957 PECOS PAC ID: 4486996907 Enrollment ID: O20190510001418 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bob E Green, MD 10308 State Line Rd, Suite A, Leawood, KS 66206-2658 Ph: (913) 381-7117 | Dr Bob E Green, MD 19550 E 39th St S, Suite 227, Independence, MO 64057-2303 Ph: (816) 795-9716 |
Scott Koerber, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S Ste 215, Independence, MO 64057 Phone: 816-461-6837 | |
Dr. Mahesh Dutt Chandra, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4911 S Arrowhead Dr, Suite 200, Independence, MO 64055 Phone: 816-795-9595 Fax: 816-795-1188 | |
Dr. Pei-chun Mcgregor, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 19401 E 39th St S, Independence, MO 64057 Phone: 816-490-4277 | |
Stephen Dickson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 19550 E 39th St S Ste 215, Independence, MO 64057 Phone: 816-461-6837 | |
Brent W Beasley, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 16659 E 23rd St S, Independence, MO 64055 Phone: 816-688-6000 Fax: 816-631-1885 | |
Dr. Ritika Kaushal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-222-9779 Fax: 816-312-4380 | |
Pamela Maben, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4911 S Arrowhead Dr, Suite 200, Independence, MO 64055 Phone: 816-795-9595 Fax: 816-795-1188 |