| Novus Lifecare | |
|
1700 Nw Mock Ave Ste B Blue Springs MO 64015-3122 | |
| (816) 604-0135 | |
| Not Available |
| Full Name | Novus Lifecare |
|---|---|
| Speciality | Family Medicine |
| Location | 1700 Nw Mock Ave Ste B, Blue Springs, Missouri |
| Authorized Official Name and Position | Anil Singh (CEO) |
| Authorized Official Contact | 8166040135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novus Lifecare 1700 Nw Mock Ave Ste B Blue Springs MO 64015-3122 | Novus Lifecare 1700 Nw Mock Ave Ste B Blue Springs MO 64015-3122 Ph: (816) 604-0135 |
| NPI Number | 1780301978 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 08/17/2026 |
| Certification Date | 08/17/2026 |
| Medicare PECOS PAC ID | 2062880875 |
|---|---|
| Medicare Enrollment ID | O20221129002764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780301978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Rhonda L Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659641108 PECOS PAC ID: 0749448918 Enrollment ID: I20120220000105 |
| Provider Name | Gaurav Chaturvedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073964524 PECOS PAC ID: 0941596563 Enrollment ID: I20191108001586 |
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