| Robert E Dattilio, DO | |
|
6420 N Prospect Ave, Gladstone, MO 64119 | |
| (913) 945-9700 | |
| (913) 945-9707 |
| Full Name | Robert E Dattilio |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 6420 N Prospect Ave, Gladstone, 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 |
|---|---|---|---|
| 1174559942 | NPI | - | NPPES |
| 080158296 | Other | RR MEDICARE | |
| 481159444 | Other | JAYHAWK TAX ID | |
| 157695XX | Other | PREFERRED CARE OF NY | |
| 22039026 | Other | BCBS PICTURE HILLS UC | |
| 18960020 | Other | CFU BCBS | |
| 2057249 | Other | AETNA | |
| 21968021 | Other | BCBS PICTURE HILLS | |
| 10001644900 | Other | CHP CREEKWOOD | |
| 21968011 | Other | BCBS CREEKWOOD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 107975 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Kansas Hospital | Kansas city, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Jayhawk Primary Care Inc | 8123928900 | 148 |
| Entity Name | Jayhawk Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982665436 PECOS PAC ID: 8123928900 Enrollment ID: O20040120000219 |
| Entity Name | Kansas University Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922144856 PECOS PAC ID: 8921911587 Enrollment ID: O20101228000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Dattilio, DO 2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med, Ste. 312, Westwood, KS 66205-2005 Ph: (913) 588-9000 | Robert E Dattilio, DO 6420 N Prospect Ave, Gladstone, MO 64119 Ph: (913) 945-9700 |
Justin Scott Lawing, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6420 N Prospect Ave, Gladstone, MO 64119 Phone: 913-945-9700 Fax: 913-945-9707 | |
Lauren Ashley Griffin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6420 N Prospect Ave, Gladstone, MO 64119 Phone: 913-588-1227 | |
Jessica Lucille Shelton-treece, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6420 N Prospect Ave, Gladstone, MO 64119 Phone: 913-945-9700 Fax: 913-945-9707 | |
Everett E Koehn, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Nw Englewood Rd, Gladstone, MO 64118 Phone: 816-453-1818 | |
Timothy C. Frey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5601 N. Antioch, Creekwood Family Care, Ste. 12, Gladstone, MO 64119 Phone: 816-452-8000 Fax: 816-455-2383 | |
Dr. Catherine Alpha Anderson, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6651 N Oak Trfy Ste 3, Gladstone, MO 64118 Phone: 816-203-0456 |