| Vance R Jernstrom, MD | |
| 
					5844 Nw Barry Rd, Ste 340, Kansas City, MO 64154-1465  | |
| (816) 880-2770 | |
| Not Available | 
| Full Name | Vance R Jernstrom | 
|---|---|
| Gender | Male | 
| Speciality | Otolaryngology | 
| Location | 5844 Nw Barry Rd, Kansas City, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558321380 | NPI | - | NPPES | 
| 10025459400 | Medicaid | NE | |
| 34161 | Other | NE | BCBSN | 
| 0735977 | Medicaid | IA | |
| 1558321380 | Medicaid | MO | |
| 1735977 | Medicaid | IA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | R5C10 (Missouri) | Primary | 
| 207Y00000X | Otolaryngology | 19023 (Nebraska) | Secondary | 
| 207Y00000X | Otolaryngology | 04-21322 (Kansas) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Vance R Jernstrom, MD Po Box 504538, Saint Louis, MO 63150-4538 Ph: (816) 932-7940  | Vance R Jernstrom, MD 5844 Nw Barry Rd, Ste 340, Kansas City, MO 64154-1465 Ph: (816) 880-2770  | 
Dr. Kim Ann Suk Baker, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3042  | |
Dr. Bart C Patenaude, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 15 E 54th St, Kansas City, MO 64110 Phone: 816-519-3013  | |
Dr. Ann Bailey Robinson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1004 Carondelet Dr, Suite 450, Kansas City, MO 64114 Phone: 816-942-7200 Fax: 816-941-2767  | |
Dr. Pamela Nicklaus, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000  | |
Robert Weatherly, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000  | |
Joseph R Guastello, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4320 Wornall Rd, Ste 512, Kansas City, MO 64111 Phone: 816-932-8663  | |
Dr. Thomas Cotton, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000  |