Waldo Wellness Group Pc is a medicare enrolled "Family Medicine" provider in Kansas City, Missouri. Their current practice location is
7210 Wornall Rd, Kansas City, Missouri. You can reach out to their office (for appointments etc.) via phone at
(816) 333-2533.
Waldo Wellness Group Pc is licensed to practice in Missouri (license number 33655) and it also participates in the medicare program. Waldo Wellness Group Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1972761187.
Healthcare Provider's Profile
| Full Name | Waldo Wellness Group Pc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 7210 Wornall Rd, Kansas City, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972761187
- Provider Enumeration Date: 05/26/2008
- Last Update Date: 03/07/2013
Medicare PECOS Information:
- PECOS PAC ID: 5799855797
- Enrollment ID: O20080603000353
Medical Identifiers
Medical identifiers for Waldo Wellness Group Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972761187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2007030924 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 33655 (Missouri) | Primary |
| 225100000X | Physical Therapist | 20110310891 (Missouri) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Waldo Wellness Group Pc acts as a billing entity for following providers:
| Provider Name | Leslie K Wiscombe |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1235123126
PECOS PAC ID: 5193764306
Enrollment ID: I20050427000872 |
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| Provider Name | Randy L Kellerman |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1790973881
PECOS PAC ID: 2264502269
Enrollment ID: I20080603000340 |
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| Provider Name | David A Dover |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1598907560
PECOS PAC ID: 4688798291
Enrollment ID: I20100903000409 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Waldo Wellness Group Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Waldo Wellness Group Pc
7210 Wornall Rd,
Kansas City, MO 64114-1345
Ph: (816) 333-2533 | Waldo Wellness Group Pc
7210 Wornall Rd,
Kansas City, MO 64114-1345
Ph: (816) 333-2533 |
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