| Dagan Randal Eichholz, MSN, PMHNP-BC | |
|
300 Se 2nd St, Lees Summit, MO 64063-2759 | |
| (816) 404-6191 | |
| Not Available |
| Full Name | Dagan Randal Eichholz |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 300 Se 2nd St, Lees Summit, 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 |
|---|---|---|---|
| 1750881173 | NPI | - | NPPES |
| 420051522 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2008003471 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Truman Medical Center Lakewood | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Truman Medical Center Incorporated | 7315841418 | 218 |
| Entity Name | Truman Medical Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144207937 PECOS PAC ID: 7315841418 Enrollment ID: O20031120000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Dagan Randal Eichholz, MSN, PMHNP-BC 300 Se 2nd St, Lees Summit, MO 64063-2759 Ph: (816) 404-6170 | Dagan Randal Eichholz, MSN, PMHNP-BC 300 Se 2nd St, Lees Summit, MO 64063-2759 Ph: (816) 404-6191 |
Sherry L Broadhurst, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-246-4302 | |
Rachael Goodman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Executive Way Ste E, Lees Summit, MO 64063 Phone: 816-434-5205 Fax: 816-434-5207 | |
Ms. Brenda Sue Salazar, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3066 Sw Grandstand Cir, Lees Summit, MO 64081 Phone: 913-215-5008 Fax: 816-447-3960 | |
Maddison Pearl Selley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Ne Saint Lukes Blvd Ste 530, Lees Summit, MO 64086 Phone: 816-554-3838 Fax: 816-554-1634 | |
Whitney Marie Belshe, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Ne Mulberry St Ste 202, Lees Summit, MO 64086 Phone: 816-251-5710 Fax: 816-251-5711 | |
Mr. Thomas Christian Sims, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 | |
Brittany Ann Shingleton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 Se Briarcroft St, Lees Summit, MO 64063 Phone: 816-872-8110 |