| Dr Derec Stanislav, DO | |
|
201 Nw Rd Mize Road, Blue Springs, MO 64014 | |
| (816) 655-5426 | |
| (816) 655-5408 |
| Full Name | Dr Derec Stanislav |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 7 Years |
| Location | 201 Nw Rd Mize Road, Blue Springs, 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 |
|---|---|---|---|
| 1295220689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2018021972 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical City North Hills | North richland hills, TX | Hospital |
| Medical City Las Colinas | Irving, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Orthopaedics Of Irving Pllc | 3779667092 | 58 |
| Entity Name | Elite Orthopaedics Of Irving Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982892105 PECOS PAC ID: 3779667092 Enrollment ID: O20080226000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derec Stanislav, DO 201 Nw Rd Mize Road, Blue Springs, MO 64014 Ph: (816) 655-5426 | Dr Derec Stanislav, DO 201 Nw Rd Mize Road, Blue Springs, MO 64014 Ph: (816) 655-5426 |
Dr. Elijah G Miller, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Nw Rd Mize Road, Blue Springs, MO 64014 Phone: 816-655-5426 Fax: 816-655-5408 | |
Kevin Andrew Witte, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 203 Nw R.d. Mize Rd, Ste 250, Blue Springs, MO 64014 Phone: 816-220-8727 Fax: 816-220-8269 | |
Dr. Matthew Thomas Cullen, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Blue Springs, MO 64014 Phone: 816-655-5426 |