| Marco S Mazzella, MD | |
|
7201 E 147th St, Grandview, MO 64030-4204 | |
| (816) 416-4900 | |
| (816) 416-4901 |
| Full Name | Marco S Mazzella |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 27 Years |
| Location | 7201 E 147th St, Grandview, 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 |
|---|---|---|---|
| 1033162219 | NPI | - | NPPES |
| 1033162219 | Medicaid | MO | |
| 7563574 | Other | AETNA | |
| A030 | Other | AETNA PPO | |
| P00853573 | Other | MO | MEDICARE RAILROAD |
| 34436012 | Other | AETNA HMO | |
| 7563574 | Other | BLUE SHIELD OF KC PPO | |
| P000149535 | Other | RAILROAD MEDICARE | |
| 431092652 | Other | TRICARE CHAMPUS | |
| 7563574 | Other | BLUE SHIELD OF KC HMO | |
| P01128616 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 0428890 (Kansas) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 2004017280 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lee's Summit Medical Center | Lees summit, MO | Hospital |
| Belton Regional Medical Center | Belton, MO | Hospital |
| Western Missouri Medical Center | Warrensburg, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Heart And Vascular Specialists Llc | 7618122417 | 70 |
| Entity Name | Midwest Heart & Vascular Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760736615 PECOS PAC ID: 7618122417 Enrollment ID: O20130228000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Marco S Mazzella, MD 3200 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 Ph: (816) 525-1600 | Marco S Mazzella, MD 7201 E 147th St, Grandview, MO 64030-4204 Ph: (816) 416-4900 |
Shanna Rose Ripley, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1513 Main St, Grandview, MO 64030 Phone: 816-731-1890 Fax: 833-996-1159 | |
Fatma Mohamed Ibrahim Shabana, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 13013 Fuller Ave Ste A, Grandview, MO 64030 Phone: 816-214-5548 | |
William R Barnard, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 7201 E 147th St, Grandview, MO 64030 Phone: 816-348-2260 Fax: 913-495-3751 | |
Dr. Anthony W Buren, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7201 E 147th St, Grandview, MO 64030 Phone: 816-348-2260 Fax: 913-495-3751 | |
Atif Muhammad, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 13013 Fuller Ave, Grandview, MO 64030 Phone: 816-214-5548 | |
Molly J Lewandowski, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7201 E 147th St, Grandview, MO 64030 Phone: 816-348-2260 Fax: 913-495-3375 |