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 | Cardiovascular Disease (cardiology) |
Experience | 33 Years |
Location | 19550 E 39th St S, Independence, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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 |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Ottawa | Ottawa, KS | Hospital |
Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventhealth Ransom Memorial Inc | 4486996907 | 28 |
Shawnee Mission Medical Center Inc | 9537119037 | 177 |
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 | |
Mrs. Fatima Ali, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 19550 E 39th St S Ste 310, Independence, MO 64057 Phone: 913-222-9779 Fax: 816-698-7378 | |
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 | |
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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-222-9779 Fax: 816-312-4380 | |
Pamela Maben, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4911 S Arrowhead Dr, Suite 200, Independence, MO 64055 Phone: 816-795-9595 Fax: 816-795-1188 |