Dawna Mcculloch, MD | |
4401 Wornall Rd, Kansas City, MO 64111-3220 | |
(816) 932-2047 | |
Not Available |
Full Name | Dawna Mcculloch |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 4401 Wornall Rd, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831202308 | NPI | - | NPPES |
202549911 | Medicaid | MO | |
100142190E | Medicaid | KS | |
100142190G | Medicaid | KS | |
26974063 | Other | BCBS | |
100142190F | Medicaid | KS | |
100142190H | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | R1J29 (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 |
---|---|
Dawna Mcculloch, MD Po Box 78009, Saint Louis, MO 63178-8009 Ph: (866) 898-7142 | Dawna Mcculloch, MD 4401 Wornall Rd, Kansas City, MO 64111-3220 Ph: (816) 932-2047 |
Dr. John Henry Beckett, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9415 Ne 91st St, Kansas City, MO 64157 Phone: 321-953-2906 | |
Dr. Lynn A Hill, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 Main St, Suite 300, Kansas City, MO 64105 Phone: 816-559-6331 | |
Christine Sullivan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1500 | |
Dr. John Lorei, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2047 | |
Shanda Riley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2171 | |
Thad A Stephens, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 Carondelet Dr Ste 200, Kansas City, MO 64114 Phone: 816-943-5690 Fax: 816-943-3156 | |
Stefanie R Ellison, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1536 |