| Dr Jason Gordon Gray, DNP, APRN, FNP-BC | |
|
9001 State Line Rd # 300, Kansas City, MO 64114-3232 | |
| (816) 363-2600 | |
| (816) 523-0068 |
| Full Name | Dr Jason Gordon Gray |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 9001 State Line Rd # 300, Kansas City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811556160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2020038488 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-78788-072 (Kansas) | Primary |
| Entity Name | Total Wound Care Of Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770265662 PECOS PAC ID: 2860846664 Enrollment ID: O20230927003718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Gordon Gray, DNP, APRN, FNP-BC 9001 State Line Rd # 300, Kansas City, MO 64114-3232 Ph: (816) 363-2600 | Dr Jason Gordon Gray, DNP, APRN, FNP-BC 9001 State Line Rd # 300, Kansas City, MO 64114-3232 Ph: (816) 363-2600 |
Natalie Christine Lickteig, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13101 State Line Rd, Kansas City, MO 64145 Phone: 816-942-2438 | |
Sean M Ryan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Blue Pkwy, Kansas City, MO 64130 Phone: 816-923-5800 Fax: 816-922-7637 | |
Jennifer Bitner, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 913-234-3000 | |
Hannah Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-4070 Fax: 816-404-4075 | |
Randyn Wertz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7130 Wornall Rd, Kansas City, MO 64114 Phone: 816-523-9355 Fax: 816-523-9358 | |
Sarah Wakat, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4330 Wornall Rd Ste 2000, Kansas City, MO 64111 Phone: 816-931-1883 | |
Scarlett Wohlleber, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4321 Washington St Ste 3000, Kansas City, MO 64111 Phone: 816-932-3100 |