| Cobblestone Family Health | |
|
1133 W Kansas St Liberty MO 64068 | |
| (816) 781-7400 | |
| Not Available |
| Full Name | Cobblestone Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1133 W Kansas St, Liberty, Missouri |
| Authorized Official Name and Position | John H Amick (SENIOR PARTNER) |
| Authorized Official Contact | 8167817400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobblestone Family Health Po Box 381 Liberty MO 64069-2281 Ph: (816) 781-7400 | Cobblestone Family Health 1133 W Kansas St Liberty MO 64068 Ph: (816) 781-7400 |
| NPI Number | 1720114705 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 07/28/2009 |
| Medicare PECOS PAC ID | 6507848454 |
|---|---|
| Medicare Enrollment ID | O20040603001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720114705 | NPI | - | NPPES |
| 506107408 | Medicaid | MO | |
| CH4140 | Other | MO | RAILROAD MEDICARE |
| 20109010 | Other | MO | KANSAS CITY BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36537 (Missouri) | Primary |
| Provider Name | Sherry N Panzica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902078702 PECOS PAC ID: 2567533292 Enrollment ID: I20080624000188 |
| Provider Name | Alicia M Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619216017 PECOS PAC ID: 6204072416 Enrollment ID: I20130412000531 |
| Provider Name | Sadia Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023530672 PECOS PAC ID: 2769755628 Enrollment ID: I20170829002337 |
| Provider Name | Jay D Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619446812 PECOS PAC ID: 5991042293 Enrollment ID: I20190124001630 |
| Provider Name | Megan E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982162806 PECOS PAC ID: 6103232483 Enrollment ID: I20210311000534 |
The Liberty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2609 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7730 Fax: 816-415-1886 | |
Liberty Medicine Specialists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Rush Creek Pkwy, Ste B, Liberty, MO 64068 Phone: 816-781-8100 Fax: 816-781-3374 | |
Liberty Hospital Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Nova Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Westowne St, Suite 401, Liberty, MO 64068 Phone: 816-781-7511 Fax: 816-781-3881 | |
Cobblestone Specialty Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 W Kansas St, Liberty, MO 64068 Phone: 816-781-7400 Fax: 816-781-3315 | |
Clay Platte Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 W Kansas St, Liberty, MO 64068 Phone: 816-781-7400 Fax: 816-781-3315 | |
Wellway Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Norterre Cir, Liberty, MO 64068 Phone: 816-463-8930 |