| Michelle R Dudzinski, MD | |
|
9301 W 74th St, Suite 130, Shawnee Mission, KS 66204-2207 | |
| (913) 632-9130 | |
| (913) 632-9149 |
| Full Name | Michelle R Dudzinski |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecologic Oncology |
| Location | 9301 W 74th St, Shawnee Mission, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043266091 | NPI | - | NPPES |
| 160056241 | Other | RAILROAD MEDICARE | |
| 203448204 | Medicaid | MO | |
| 33677 | Other | HEALTHCARE USA | |
| 4408217 | Other | AETNA | |
| 18093039 | Other | BCBS OF KANSAS CITY | |
| 7400201 | Other | UHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 427545 (Kansas) | Primary |
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 100151 (Missouri) | Secondary |
| Entity Name | Shawnee Mission Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle R Dudzinski, MD 9301 W 74th St, Suite 130, Shawnee Mission, KS 66204-2207 Ph: (913) 632-9130 | Michelle R Dudzinski, MD 9301 W 74th St, Suite 130, Shawnee Mission, KS 66204-2207 Ph: (913) 632-9130 |
Dr. Kimberly Diane Matthews, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9119 W 74th St, Ste 300, Shawnee Mission, KS 66204 Phone: 913-677-3113 Fax: 913-677-4514 | |
Lowell J Byers, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-632-9100 Fax: 913-632-9159 | |
Kelsi Maxwell Drummond, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9119 W 74th St Ste 300, Shawnee Mission, KS 66204 Phone: 913-677-3113 | |
Dr. Amy Lynn Giedt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204 Phone: 913-677-3113 Fax: 913-677-4514 | |
Dr. Reagan M Wittek, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204 Phone: 913-677-3113 Fax: 913-677-4514 | |
Lisa Ann Pazdernik, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2219 Fax: 913-789-6700 |