| Dr Dean Lee Mundhenke, MD | |
|
205 Nw Rd Mize Rd Ste 400, Blue Springs, MO 64014 | |
| (816) 228-9841 | |
| (816) 228-8667 |
| Full Name | Dr Dean Lee Mundhenke |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 205 Nw Rd Mize Rd Ste 400, Blue Springs, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447356092 | NPI | - | NPPES |
| 167441 | Other | COVENTRY | |
| R7B62 | Other | MO | STATE LICENSE NUMBER |
| 4536374 | Other | AETNA | |
| 09141023 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R7B62 (Missouri) | Primary |
| Entity Name | Prime Healthcare Kansas City - Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427449487 PECOS PAC ID: 7315267325 Enrollment ID: O20150514001835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dean Lee Mundhenke, MD 205 Nw Rd Mize Rd Ste 400, Blue Springs, MO 64014 Ph: (816) 228-9841 | Dr Dean Lee Mundhenke, MD 205 Nw Rd Mize Rd Ste 400, Blue Springs, MO 64014 Ph: (816) 228-9841 |
Michael Joseph Liston, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Nw R D Mize Rd, Suite 200, Blue Springs, MO 64014 Phone: 816-220-1117 Fax: 816-228-2053 | |
Richard Tam Chung, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 Nw Vesper St, Blue Springs, MO 64014 Phone: 816-229-9411 Fax: 816-229-9411 | |
Dr. William F Sudholt, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd Ste 206, Blue Springs, MO 64014 Phone: 816-655-5403 Fax: 816-655-5257 | |
John Mcgarry Holkins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Nw Rd Mize Rd Ste 200, Blue Springs, MO 64014 Phone: 816-220-1117 Fax: 816-228-2053 | |
Corinne Sundar Rao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd Ste 206, Blue Springs, MO 64014 Phone: 816-655-5403 Fax: 816-655-5257 | |
Dr. Sherry Wei Yang, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd Ste 206, Blue Springs, MO 64014 Phone: 816-655-5403 Fax: 816-655-5257 | |
Dr. Angela Boston, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Nw R D Mize Rd, Blue Springs, MO 64014 Phone: 816-228-5900 |