| Dr Marcellus Ryan Luwia, | |
| 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | |
| (816) 271-1350 | |
| (816) 271-8810 | 
| Full Name | Dr Marcellus Ryan Luwia | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 5514 Corporate Dr Ste 120, 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 | 
|---|---|---|---|
| 1659689677 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 9409951 (Kansas) | Secondary | 
| 208000000X | Pediatrics | 2019019525 (Missouri) | Primary | 
| 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 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Marcellus Ryan Luwia, 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 Ph: (816) 271-1350 | Dr Marcellus Ryan Luwia, 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 Ph: (816) 271-1350 | 
| Nikola Karlo Bartulica, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 105 Far West Dr Ste 100, Saint Joseph, MO 64506 Phone: 816-271-8115 Fax: 816-271-8104 | |
| Jamie Noelle Ball, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507 Phone: 816-271-1350 Fax: 816-271-1355 | |
| Dr. Carmen Marie Ford, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 105 Far West Dr, Heartland Pediatric And Adult Care Suite 100, Saint Joseph, MO 64506 Phone: 816-271-8110 Fax: 816-271-8104 | |
| Dr. Karam Hadid, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507 Phone: 816-271-1350 Fax: 816-271-8810 | |
| Timothy P Murphy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 N 36th St, Saint Joseph, MO 64506 Phone: 816-271-4022 Fax: 816-271-4020 | |
| Michelle Y Cebulko, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 805 N 36th St Ste B, Saint Joseph, MO 64506 Phone: 816-396-6026 Fax: 816-398-6896 |