Mr Matthew R Hlavacek, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Lees Summit, Missouri. His current practice location is
1208 Ne Windsor Dr, Lees Summit, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 524-4334.
Mr Matthew R Hlavacek is licensed to practice in Missouri (license number 2005027155) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285613240.
Healthcare Provider's Profile
Full Name | Mr Matthew R Hlavacek |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 1208 Ne Windsor Dr, Lees Summit, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285613240
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 07/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 9931135308
- Enrollment ID: I20170420001058
Medical Identifiers
Medical identifiers for Mr Matthew R Hlavacek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285613240 | NPI | - | NPPES |
204017107 | Medicaid | MO | |
404017105 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 016083 (Missouri) | Secondary |
208D00000X | General Practice | 2005027155 (Missouri) | Secondary |
122300000X | Dentist | 016083 (Missouri) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 2005027155 (Missouri) | Primary |
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. Mr Matthew R Hlavacek 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 |
Mr Matthew R Hlavacek, MD, DDS 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594 Ph: (816) 524-4334 | Mr Matthew R Hlavacek, MD, DDS 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594 Ph: (816) 524-4334 |
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