| Dr William L Gummelt, MD | |
|
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
| (816) 271-6122 | |
| (816) 271-6019 |
| Full Name | Dr William L Gummelt |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5325 Faraon St, Saint Joseph, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285670281 | NPI | - | NPPES |
| 208593905 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 112084 (Missouri) | Primary |
| Entity Name | Northwest Medical Center Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124164322 PECOS PAC ID: 5496641896 Enrollment ID: O20040224000204 |
| Entity Name | Heartland Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
| Entity Name | Mosaic Medical Center - Maryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William L Gummelt, MD 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6122 | Dr William L Gummelt, MD 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6122 |
Dr. Juan C Dominguez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5210 North Belt Hwy, Saint Joseph, MO 64506 Phone: 816-271-4995 Fax: 816-271-4915 | |
Steven L Puderbaugh, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1314 N 36th St, Saint Joseph, MO 64506 Phone: 800-952-8387 Fax: 913-758-8387 | |
Dr. Sameer Gupta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4906 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-396-0245 Fax: 816-817-5746 | |
Dr. Thomas W Alderson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 N 36th St, Saint Joseph, MO 64506 Phone: 816-271-4022 Fax: 816-271-4020 | |
John Lee Cook, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Heartland Rd Ste 3800, Saint Joseph, MO 64506 Phone: 816-671-4800 Fax: 816-279-0421 | |
Dr. Lisa Renee Nordberg, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3949 Sherman Ave, Saint Joseph, MO 64506 Phone: 816-279-4882 | |
Jana Marie Hill, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 N Belt Hwy, Saint Joseph, MO 64506 Phone: 816-271-7077 Fax: 816-271-4998 |