| Summit Geriatrics LLC | |
|
200 Ne Missouri Rd Ste 200 Lees Summit MO 64086-4722 | |
| (913) 271-8676 | |
| (888) 856-3199 |
| Full Name | Summit Geriatrics LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Ne Missouri Rd Ste 200, Lees Summit, Missouri |
| Authorized Official Name and Position | Shyam K. Akkulugari (CEO/SOLE OWNER) |
| Authorized Official Contact | 9132718676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Geriatrics LLC Po Box 7612 Overland Park KS 66207-0612 Ph: (913) 271-8676 | Summit Geriatrics LLC 200 Ne Missouri Rd Ste 200 Lees Summit MO 64086-4722 Ph: (913) 271-8676 |
| NPI Number | 1073745493 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Medicare PECOS PAC ID | 8325194277 |
|---|---|
| Medicare Enrollment ID | O20090918000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073745493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | () | Secondary |
| Provider Name | Shyam K Akkulugari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326031006 PECOS PAC ID: 3870536402 Enrollment ID: I20061101000415 |
| Provider Name | Lance a Vickery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801101613 PECOS PAC ID: 7517156094 Enrollment ID: I20121023000549 |
Herb Hall DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 258 Ne Tudor Rd, Lees Summit, MO 64086 Phone: 816-525-8086 |
Lees Summit Center for Womens Wellness, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Ne Ralph Powell Rd, Suite A, Lees Summit, MO 64064 Phone: 816-888-5200 Fax: 816-888-5210 |
Men's Healthlink of Kansas City, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064 Phone: 816-875-1105 Fax: 816-875-1103 |
Athletico Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Sw Highway 150, Lees Summit, MO 64082 Phone: 816-944-3003 Fax: 816-334-0001 |
Liv Aesthetics and Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 Sw 3rd St Ste I, Lees Summit, MO 64063 Phone: 816-324-9214 |
Hearts With Hands Eldercare Physicians PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Pryor Rd, Lees Summit, MO 64081 Phone: 888-362-3537 Fax: 888-362-3537 |