| Jason Scott Lawrence Holly, MD | |
|
2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116-3237 | |
| (816) 241-3338 | |
| (816) 936-8118 |
| Full Name | Jason Scott Lawrence Holly |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 19 Years |
| Location | 2750 Clay Edwards Dr, N Kansas City, 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 |
|---|---|---|---|
| 1023111259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2012023678 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New Liberty Hospital District | Liberty, MO | Hospital |
| Providence Medical Center | Kansas city, KS | Hospital |
| St Joseph Medical Center | Kansas city, MO | Hospital |
| St Marys Medical Center | Blue springs, MO | Hospital |
| Saint John Hospital | Leavenworth, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mawd Pathology Group Pa | 2668421389 | 38 |
| Mawd Pathology Group Pa | 2668421389 | 38 |
| Entity Name | Mawd Pathology Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033108519 PECOS PAC ID: 2668421389 Enrollment ID: O20061024000121 |
| Entity Name | Mawd Pathology Partners Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508249228 PECOS PAC ID: 7618278771 Enrollment ID: O20151214001703 |
| Entity Name | Mawd Pathologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376209130 PECOS PAC ID: 5193102028 Enrollment ID: O20220517002528 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Scott Lawrence Holly, MD 2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116-3237 Ph: (816) 241-3338 | Jason Scott Lawrence Holly, MD 2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116-3237 Ph: (816) 241-3338 |
Dr. Samuel K. Caughron, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116 Phone: 816-241-3338 |