Dr Christopher C Formen, MD | |
2800 Clay Edwards Dr, Kansas City, MO 64116-3220 | |
(816) 691-5201 | |
Not Available |
Full Name | Dr Christopher C Formen |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 2800 Clay Edwards Dr, Kansas City, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922019942 | NPI | - | NPPES |
7406930 | Other | MO | AETNA |
1922019942 | Medicaid | KS | |
200666250A | Medicaid | KS | |
P00355712 | Other | MO | RR MEDICARE |
37226019 | Other | MO | BCBSKC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2006009448 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Kansas City Hospital | North kansas city, MO | Hospital |
University Of Kansas Hospital | Kansas city, KS | Hospital |
Ray County Memorial Hospital | Richmond, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northland Radiology, Inc. | 4284689043 | 14 |
Entity Name | Northland Radiology, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679518260 PECOS PAC ID: 4284689043 Enrollment ID: O20050315000711 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher C Formen, MD Po Box 419380 - Dept 128, Kansas City, MO 64141-6380 Ph: (913) 642-4900 | Dr Christopher C Formen, MD 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 Ph: (816) 691-5201 |
Yuri Shif, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2550 Fax: 816-932-2698 | |
Dr. Mark J Malley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 630 Nw Englewood Rd, Kansas City, MO 64118 Phone: 816-453-2700 Fax: 816-453-9943 | |
Megan Saettele, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4321 Washington St, Suite 100, Kansas City, MO 64111 Phone: 816-932-2307 Fax: 816-932-7957 | |
Kristin Anne Leland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 Fax: 816-302-9939 | |
Julia J. Neperud, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, Kansas City, MO 64116 Phone: 816-691-5201 Fax: 816-346-7063 | |
Sherwin Shiu-cheung Chan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 | |
Dr. Marci A Brecheisen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, Kansas City, MO 64116 Phone: 816-691-5201 Fax: 816-346-7063 |