| Dr Scott C Cozad, MD | |
| 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068-9625 | |
| (816) 415-2147 | |
| (816) 415-2158 | 
| Full Name | Dr Scott C Cozad | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Radiation Oncology | 
| Location | 2529 Glenn Hendren Dr, Liberty, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487616058 | NPI | - | NPPES | 
| 100135400A | Medicaid | KS | |
| 203541602 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | R3J99 (Missouri) | Primary | 
| 2085R0001X | Radiology - Radiation Oncology | 04-22900 (Kansas) | Secondary | 
| Entity Name | Saint Lukes Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Scott C Cozad, MD 6601 Winchester Ave, Suite 230, Kansas City, MO 64133-4677 Ph: (816) 313-2677 | Dr Scott C Cozad, MD 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068-9625 Ph: (816) 415-2147 | 
| Dr. Joseph Caresio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 | |
| Randall C Newth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
| Mary E Macnaughton, MD Radiology Medicare: Medicare Enrolled Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
| Dr. John Brian Pope, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn W Hendren Drive, Liberty, MO 64068 Phone: 816-407-2038 | |
| Timothy G Raveill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
| Christine A Keesling, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 |