| Thomas Phillips Jr, MD | |
|
902 Wollard Blvd, Richmond, MO 64085-2229 | |
| (816) 776-2201 | |
| (816) 776-7678 |
| Full Name | Thomas Phillips Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sports Medicine |
| Location | 902 Wollard Blvd, Richmond, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508150830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 04-37926 (Kansas) | Primary |
| 207Q00000X | Family Medicine | 2015028100 (Missouri) | Secondary |
| Entity Name | Emergent Care Plus Of Overland Park Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811224371 PECOS PAC ID: 8123153939 Enrollment ID: O20100318000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Phillips Jr, MD 9411 N Oak Trfy Ste Ll1, Kansas City, MO 64155-2262 Ph: (816) 691-1655 | Thomas Phillips Jr, MD 902 Wollard Blvd, Richmond, MO 64085-2229 Ph: (816) 776-2201 |
Dr. Whitnee Amaris Maycock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 Wollard Blvd, Richmond, MO 64085 Phone: 816-776-2201 | |
Dr. C Mark Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 Wollard Blvd, Richmond, MO 64085 Phone: 816-776-2201 Fax: 816-776-7678 | |
Dr. Melissa Bradley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 Wollard Blvd, Richmond, MO 64085 Phone: 402-559-7249 |