| Edward A Dodge, PA | |
|
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
| (816) 271-6122 | |
| (816) 271-6019 |
| Full Name | Edward A Dodge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5325 Faraon St, Saint Joseph, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043468093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | T-02280 (Kansas) | Primary |
| Entity Name | Sumner County Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215094438 PECOS PAC ID: 6103925268 Enrollment ID: O20080926000428 |
| Entity Name | Rooks County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841570298 PECOS PAC ID: 8325959331 Enrollment ID: O20111025000737 |
| Entity Name | Sound Physicians Emergency Medicine of Kansas LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831689934 PECOS PAC ID: 6800141672 Enrollment ID: O20180619001843 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward A Dodge, PA 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6122 | Edward A Dodge, PA 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6122 |
Brandan L Sigrist, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3107 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-233-9888 Fax: 816-233-0414 |
Sarah Horton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507 Phone: 816-671-4888 Fax: 816-671-4890 |
Mrs. Haley Marie Keesaman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 802 N Riverside Rd Ste 150, Saint Joseph, MO 64507 Phone: 816-271-4025 Fax: 816-271-4026 |
Sarah Elizabeth Pedersen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 Faraon St, C, Saint Joseph, MO 64506 Phone: 816-437-8122 Fax: 816-407-9609 |
Amy L Horner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1419 Village Dr, Saint Joseph, MO 64506 Phone: 816-364-1507 Fax: 816-364-5711 |
Audrey Postma, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5210 N Belt Hwy, Saint Joseph, MO 64506 Phone: 816-271-1330 |
Ana Carandang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 902 N Riverside Rd Ste 204, Saint Joseph, MO 64507 Phone: 816-271-6460 Fax: 816-271-6139 |