| Julie Ann Green, MD | |
|
3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 | |
| (913) 451-7546 | |
| (816) 524-4929 |
| Full Name | Julie Ann Green |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 3265 Ne Ralph Powell Rd, Lees Summit, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184935256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2010017730 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Resolute Dermatology | 1557775533 | 5 |
| Entity Name | Resolute Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124624028 PECOS PAC ID: 1557775533 Enrollment ID: O20210203000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Ann Green, MD 11550 Granada St, Leawood, KS 66211-1453 Ph: (913) 451-7546 | Julie Ann Green, MD 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 Ph: (913) 451-7546 |
Nicholas Joseph Golda, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 913-907-2496 | |
Grant Jeffrey Randall, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 601 Nw Obrien Rd, Lees Summit, MO 64063 Phone: 816-287-1528 Fax: 343-503-0640 | |
Theresa Katherine Mattingly, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-524-4747 Fax: 816-524-4929 | |
Araya Zaesim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-454-3424 | |
Sheldon Sebastian, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-524-4747 Fax: 816-524-4929 | |
David Ryan Fieleke, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1728 Ne Nine Oaks Dr, Lees Summit, MO 64086 Phone: 573-356-7265 |