Gerit Wagner, | |
3901 Rainbow Blvd, Kansas City, KS 66160-8500 | |
(785) 577-7799 | |
Not Available |
Full Name | Gerit Wagner |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 3901 Rainbow Blvd, Kansas City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184345233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 2781 (Kansas) | Primary |
Provider Name | Kansas University Physicians Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
Mailing Address | Practice Location Address |
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Gerit Wagner, 5625 Meadow View Dr, Shawnee, KS 66226-2978 Ph: (785) 577-7799 | Gerit Wagner, 3901 Rainbow Blvd, Kansas City, KS 66160-8500 Ph: (785) 577-7799 |
Mrs. Kelsey Michelle Dean, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Mail Stop 4004, Kansas City, KS 66103 Phone: 913-588-3775 | |
Adrienne Baxter, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Ms 4043, Kansas City, KS 66160 Phone: 913-588-4375 | |
Kristin Porter Rd, Ld Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10124 Hutton Rd, Kansas City, KS 66109 Phone: 913-208-5175 | |
Kara L Mcnally, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, 4070 Delp Mail Stop 4017, Kansas City, KS 66160 Phone: 913-588-6022 | |
Lauren Keller, RDN, MS, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-945-8280 | |
Melissa Anne Leslie, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-945-8335 Fax: 913-588-4060 | |
Whitney Dunn, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-742-9886 Fax: 913-535-2101 |