| Raintree Medical And Chiropractic Center Llc | |
|
931 Sw Lemans Ln Lees Summit MO 64082-4619 | |
| (816) 623-3020 | |
| (816) 623-3076 |
| Full Name | Raintree Medical And Chiropractic Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 931 Sw Lemans Ln, Lees Summit, Missouri |
| Authorized Official Name and Position | Benjamin Fluegge (PRESIDENT) |
| Authorized Official Contact | 8166233020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raintree Medical And Chiropractic Center Llc 931 Sw Lemans Ln Lees Summit MO 64082-4619 Ph: (816) 623-3020 | Raintree Medical And Chiropractic Center Llc 931 Sw Lemans Ln Lees Summit MO 64082-4619 Ph: (816) 623-3020 |
| NPI Number | 1689067167 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 5991025447 |
|---|---|
| Medicare Enrollment ID | O20150522001546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689067167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Preston B Howerton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023004652 PECOS PAC ID: 6406954395 Enrollment ID: I20070530000385 |
| Provider Name | Benjamin Robert Fluegge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043569445 PECOS PAC ID: 6901055334 Enrollment ID: I20120928000631 |
| Provider Name | Jeremy C Strom |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932320439 PECOS PAC ID: 7113175670 Enrollment ID: I20121005000294 |
| Provider Name | Thao Thi Phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609289388 PECOS PAC ID: 5799900049 Enrollment ID: I20140701000371 |
| Provider Name | Kate Lakin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598155053 PECOS PAC ID: 8224353255 Enrollment ID: I20150213000619 |
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