Crystal Brown-vredenburg, | |
20 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6001 | |
(816) 347-5100 | |
(816) 347-5136 |
Full Name | Crystal Brown-vredenburg |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 20 Ne Saint Lukes Blvd Ste 200, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114488665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | TBD (Missouri) | Secondary |
207Q00000X | Family Medicine | 2022033075 (Missouri) | Primary |
Entity Name | Saint Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
Mailing Address | Practice Location Address |
---|---|
Crystal Brown-vredenburg, 20 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6001 Ph: (816) 347-5100 | Crystal Brown-vredenburg, 20 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6001 Ph: (816) 347-5100 |
Dr. Valaree Rosann Smith, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2317 Ne Sweet Water Dr, Lees Summit, MO 64086 Phone: 816-525-7310 Fax: 816-525-7310 | |
Matthew Timothy Myrick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 Fax: 816-932-3148 | |
Dr. John William Klema Iii, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4963 Ne Goodview Cir Ste B, Lees Summit, MO 64064 Phone: 816-795-7100 Fax: 816-795-7105 | |
Bradley Dean Chrisjohn, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Sw 3rd St, Lees Summit, MO 64063 Phone: 816-524-3799 Fax: 913-495-3727 | |
Matthew Cianciolo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Ne Saint Lukes Blvd, Ste. 200, Lees Summit, MO 64086 Phone: 813-347-5100 Fax: 816-347-5136 | |
Dr. Chad W Sharky, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 612 Sw 3rd St Ste D, Lees Summit, MO 64063 Phone: 816-355-5007 Fax: 208-845-6049 |