| Timothy G Raveill, MD | |
|
2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | |
| (816) 407-2038 | |
| (816) 792-7135 |
| Full Name | Timothy G Raveill |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 29 Years |
| Location | 2525 Glenn Hendren Dr, Liberty, 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 |
|---|---|---|---|
| 1760402861 | NPI | - | NPPES |
| 100403320B | Medicaid | KS | |
| 205343015 | Medicaid | MO | |
| 300135898 | Other | MO | RAILROAD MEDICARE |
| 29296026 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 2000165897 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2000165897 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Kansas City Hospital | North kansas city, MO | Hospital |
| Truman Medical Center Lakewood | Kansas city, MO | Hospital |
| Cox Medical Centers | Springfield, MO | Hospital |
| Truman Medical Center Hospital Hill | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Health Physicians | 1153235825 | 305 |
| Meritas Health Corporation | 6305748153 | 434 |
| Lester E Cox Medical Centers | 8628092897 | 242 |
| Entity Name | University Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669456257 PECOS PAC ID: 1153235825 Enrollment ID: O20031117000701 |
| Entity Name | Meritas Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801875091 PECOS PAC ID: 6305748153 Enrollment ID: O20040122001058 |
| Entity Name | Ernst Radiology Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629000971 PECOS PAC ID: 2961488366 Enrollment ID: O20040626000181 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760405864 PECOS PAC ID: 8628092897 Enrollment ID: O20060116000342 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174952212 PECOS PAC ID: 1658509864 Enrollment ID: O20140115001602 |
| Entity Name | Ernst Radiology Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699425462 PECOS PAC ID: 2264829639 Enrollment ID: O20220602002306 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy G Raveill, MD 9212 Nieman Rd, Overland Park, KS 66214-1868 Ph: (913) 599-6777 | Timothy G Raveill, MD 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 Ph: (816) 407-2038 |
Dr. Joseph Caresio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 | |
Randall C Newth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
Mary E Macnaughton, MD Radiology Medicare: Medicare Enrolled Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
Dr. John Brian Pope, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn W Hendren Drive, Liberty, MO 64068 Phone: 816-407-2038 | |
Dr. Scott C Cozad, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068 Phone: 816-415-2147 Fax: 816-415-2158 | |
Christine A Keesling, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 |