| Family Care Of E. Jackson County Llc | |
|
725 Nw State Route 7 Ste B Blue Springs MO 64014-2426 | |
| (816) 229-8187 | |
| Not Available |
| Full Name | Family Care Of E. Jackson County Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 725 Nw State Route 7 Ste B, Blue Springs, Missouri |
| Authorized Official Name and Position | Daniel Sykes (VICE PRESIDENT) |
| Authorized Official Contact | 8163637303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Of E. Jackson County Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 372-5426 | Family Care Of E. Jackson County Llc 725 Nw State Route 7 Ste B Blue Springs MO 64014-2426 Ph: (816) 229-8187 |
| NPI Number | 1326094632 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 03/19/2020 |
| Medicare PECOS PAC ID | 8426068693 |
|---|---|
| Medicare Enrollment ID | O20060502000852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326094632 | NPI | - | NPPES |
| 100452280A | Medicaid | KS | |
| 506899004 | Medicaid | MO | |
| 20051024 | Other | KS | BCBS OF KANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra L Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942264718 PECOS PAC ID: 1850355850 Enrollment ID: I20041118000956 |
| Provider Name | Karmel L Carothers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427006543 PECOS PAC ID: 5991898322 Enrollment ID: I20070830000590 |
| Provider Name | Pamela S Maben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083609077 PECOS PAC ID: 9537242813 Enrollment ID: I20080208000518 |
| Provider Name | Jennifer J Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083873558 PECOS PAC ID: 0042388514 Enrollment ID: I20081010000295 |
| Provider Name | Bruce D Scully |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366437972 PECOS PAC ID: 5890825954 Enrollment ID: I20100616000404 |
| Provider Name | Virginia Robine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144254582 PECOS PAC ID: 5698713006 Enrollment ID: I20100915000227 |
| Provider Name | Megan K Pollema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407270085 PECOS PAC ID: 4284865510 Enrollment ID: I20140328001892 |
| Provider Name | Rutendo Kamudzandu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699195602 PECOS PAC ID: 0143444182 Enrollment ID: I20140613001921 |
| Provider Name | Amy Rieder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679968002 PECOS PAC ID: 7719205913 Enrollment ID: I20150910002574 |
| Provider Name | Simon Kinuthia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184269532 PECOS PAC ID: 4981039146 Enrollment ID: I20200115002640 |
| Provider Name | Huong T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306232400 PECOS PAC ID: 6406158930 Enrollment ID: I20200413003106 |
| Provider Name | Gretchen R Stokes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649666546 PECOS PAC ID: 7517269798 Enrollment ID: I20200430002058 |
| Provider Name | Rachel Lyn Itkonen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689327066 PECOS PAC ID: 9133514755 Enrollment ID: I20220317002383 |
| Provider Name | Bryan Matthew Kaplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841911310 PECOS PAC ID: 3173993896 Enrollment ID: I20221221001049 |
Carondelet Physician Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Nw Rd Mize Rd, Suite 101, Blue Springs, MO 64014 Phone: 816-228-9841 Fax: 816-228-1514 | |
Cockerell & Mcintosh Pediatrics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Nw Rd Mize Rd, Suite 304, Blue Springs, MO 64014 Phone: 816-228-4770 Fax: 816-228-1156 | |
Cooperating Plan Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Nw Jefferson St, Blue Springs, MO 64015 Phone: 816-224-1740 Fax: 816-224-1364 | |
Samuel U. Rodgers Health Center Blue Springs School District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Nw Jefferson St, Blue Springs, MO 64015 Phone: 816-224-1740 | |
Cmc Comprehensive Care Blue Springs Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 W Main St Ste F, Blue Springs, MO 64015 Phone: 816-229-1941 Fax: 816-229-7085 | |
Moberly Area Osteopathic Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3308 Thornbird St, Blue Springs, MO 64015 Phone: 816-588-3420 Fax: 816-988-8333 |