| Madison E Gourley, PA-C | |
|
20 Ne Saint Lukes Blvd Ste 240, Lees Summit, MO 64086-6019 | |
| (816) 931-1883 | |
| Not Available |
| Full Name | Madison E Gourley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 20 Ne Saint Lukes Blvd Ste 240, Lees Summit, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528745726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1503324 (Kansas) | Secondary |
| 363A00000X | Physician Assistant | 2023025915 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Hospital | Liberty, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Liberty Hospital Corporation | 9931166618 | 135 |
| Entity Name | New Liberty Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669734661 PECOS PAC ID: 9931166618 Enrollment ID: O20120918000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison E Gourley, PA-C 901 E 104th St # Ms 400s, Kansas City, MO 64131-4517 Ph: (816) 931-1883 | Madison E Gourley, PA-C 20 Ne Saint Lukes Blvd Ste 240, Lees Summit, MO 64086-6019 Ph: (816) 931-1883 |
Kristen R Nondorf, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 816-282-5000 |
Carly Payne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064 Phone: 816-525-2840 Fax: 816-525-2841 |
Jessica Hartzler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3521 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-554-8346 Fax: 816-554-9470 |
Danyel Yardley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064 Phone: 816-525-2840 |
Mrs. Krista Barnes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-246-4302 Fax: 816-246-9493 |
Madeline Leeann Mclain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064 Phone: 816-525-2840 |
Ms. Hannah Saville, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Nw Obrien Rd, Lees Summit, MO 64063 Phone: 816-287-1528 Fax: 343-503-0640 |