| Dr Lucas Samuel Tebbe, DPM | |
| 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | |
| (816) 404-9597 | |
| Not Available | 
| Full Name | Dr Lucas Samuel Tebbe | 
|---|---|
| Gender | Male | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 7900 Lees Summit Rd, 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 | 
|---|---|---|---|
| 1417519257 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2019024623 (Missouri) | Primary | 
| Provider Name | Shoal Creek Foot And Ankle Center Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1346722055 PECOS PAC ID: 0547512154 Enrollment ID: O20181010000334 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lucas Samuel Tebbe, DPM 11331 N State Highway V, Walnut Grove, MO 65770-8412 Ph: (417) 988-9289 | Dr Lucas Samuel Tebbe, DPM 7900 Lees Summit Rd, Kansas City, MO 64139-1236 Ph: (816) 404-9597 | 
| Dr. Dylan Grau, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7900 Lees Summit Rd, Kansas City, MO 64139 Phone: 816-404-7000 | |
| Dr. David Arthur Robinson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6724 Troost, Ste 604, Kansas City, MO 64131 Phone: 816-333-2330 Fax: 816-333-2330 | |
| Michael Andersen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7900 Lees Summit Rd, Kansas City, MO 64139 Phone: 816-404-7000 | |
| Dr. Kalli Ann Rush, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7900 Lees Summit Rd, Kansas City, MO 64139 Phone: 816-404-7701 | |
| Dr. Mark Alan Green, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1010 Carondelet Dr, Suite 301, Kansas City, MO 64114 Phone: 816-943-1111 | |
| Raman Sinha, D.p.m., P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6724 Troost Ave, Ste 106, Kansas City, MO 64131 Phone: 816-462-3901 | |
| Ethan James Knowlton,  Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 Phone: 816-943-1111 |