| Clint Gregory, | |
|
9119 W 74th St Ste 150, Shawnee Mission, KS 66204-2229 | |
| (913) 789-1980 | |
| (913) 829-1770 |
| Full Name | Clint Gregory |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 9119 W 74th St Ste 150, Shawnee Mission, Kansas |
| 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 |
|---|---|---|---|
| 1730629981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-01993 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Lakeside | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alegent Creighton Clinic | 1951210418 | 951 |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Mailing Address | Practice Location Address |
|---|---|
| Clint Gregory, 9119 W 74th St Ste 150, Shawnee Mission, KS 66204-2229 Ph: (913) 789-1980 | Clint Gregory, 9119 W 74th St Ste 150, Shawnee Mission, KS 66204-2229 Ph: (913) 789-1980 |
Lisa I Orrick, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8800 W 75th St, Ste 140, Shawnee Mission, KS 66204 Phone: 913-722-5551 Fax: 913-362-0583 |
Laura Diane Lindsey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 Fax: 913-789-3106 |
Elizabeth C Parks, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9119 W 74th St, Suite 150, Shawnee Mission, KS 66204 Phone: 913-362-5510 Fax: 913-362-1139 |
Melissa Young, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-957-8076 |
Mrs. Nicole Elizabeth Berge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7450 Kessler St Ste 203, Shawnee Mission, KS 66204 Phone: 913-676-7585 Fax: 913-676-8189 |
Heidi Louise Peck, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204 Phone: 913-677-3113 Fax: 913-677-4514 |
Shelley C Elias, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9119 W 74th St, Suite 150, Shawnee Mission, KS 66204 Phone: 913-362-5510 Fax: 913-362-1139 |