| Dr Guy Alexander Fogg, MD | |
|
11605 E 23rd St S, Independence, MO 64050-4201 | |
| (816) 579-6891 | |
| Not Available |
| Full Name | Dr Guy Alexander Fogg |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 11605 E 23rd St S, Independence, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881071124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 04-47208 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | MD195200 (Oregon) | Secondary |
| 207R00000X | Internal Medicine | 2023005511 (Missouri) | Primary |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Guy Alexander Fogg, MD 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: (615) 314-5257 | Dr Guy Alexander Fogg, MD 11605 E 23rd St S, Independence, MO 64050-4201 Ph: (816) 579-6891 |
Scott Koerber, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S Ste 215, Independence, MO 64057 Phone: 816-461-6837 | |
Dr. Mahesh Dutt Chandra, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4911 S Arrowhead Dr, Suite 200, Independence, MO 64055 Phone: 816-795-9595 Fax: 816-795-1188 | |
Dr. Pei-chun Mcgregor, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19401 E 39th St S, Independence, MO 64057 Phone: 816-490-4277 | |
Stephen Dickson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19550 E 39th St S Ste 215, Independence, MO 64057 Phone: 816-461-6837 | |
Brent W Beasley, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 16659 E 23rd St S, Independence, MO 64055 Phone: 816-688-6000 Fax: 816-631-1885 | |
Dr. Ritika Kaushal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-222-9779 Fax: 816-312-4380 | |
Pamela Maben, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4911 S Arrowhead Dr, Suite 200, Independence, MO 64055 Phone: 816-795-9595 Fax: 816-795-1188 |