| Jacob Dusselier, | |
|
2401 Gillham Rd, Kansas City, MO 64108-4619 | |
| (816) 234-3000 | |
| Not Available |
| Full Name | Jacob Dusselier |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 7 Years |
| Location | 2401 Gillham Rd, Kansas City, 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 |
|---|---|---|---|
| 1750941456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 2019020369 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Luke's East Hospital | Lees summit, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Physician Group Inc | 3577476894 | 1234 |
| Entity Name | The Childrens Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20031118000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Dusselier, 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: () - | Jacob Dusselier, 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 234-3000 |
Laura Shelby Reynolds, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2000 | |
Emma Lynne Worley, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 | |
Joseph Henry Albright, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2000 | |
Kira Harms, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 817-602-3692 | |
Tyler H Werth, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 | |
Cassidy N Kimball, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-3679 Fax: 816-932-3368 | |
Margaret Cavener, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 |