Dr Clayton Lewis Theleman, MD | |
2521 Glenn Hendren Dr Ste 108, Liberty, MO 64068 | |
(816) 781-3515 | |
(816) 781-3517 |
Full Name | Dr Clayton Lewis Theleman |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 10 Years |
Location | 2521 Glenn Hendren Dr Ste 108, Liberty, 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 |
---|---|---|---|
1013322080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 12506876 (Illinois) | Secondary |
208600000X | Surgery | 2019014000 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
New Liberty Hospital District | Liberty, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Liberty Hospital Corporation | 9931166618 | 99 |
Entity Name | New Liberty Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669734661 PECOS PAC ID: 9931166618 Enrollment ID: O20120918000321 |
Mailing Address | Practice Location Address |
---|---|
Dr Clayton Lewis Theleman, MD Po Box 219672, Kansas City, MO 64121-9672 Ph: (816) 407-4555 | Dr Clayton Lewis Theleman, MD 2521 Glenn Hendren Dr Ste 108, Liberty, MO 64068 Ph: (816) 781-3515 |
Dr. Kirstie Schneider Van Ry, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2521 Glenn Hendren Dr, Ste 108, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-781-6973 | |
Brett Lee Wilson, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 2521 Glenn Hendren Dr Ste 204, Liberty, MO 64068 Phone: 816-781-6066 | |
Alan William Good, MD Surgery Medicare: Medicare Enrolled Practice Location: 2521 Glenn Hendren Dr Ste 108, Liberty, MO 64068 Phone: 816-781-3515 Fax: 816-781-3517 | |
Douglas W Nespory, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2521 Glenn Hendren Dr, Suite #112, Liberty, MO 64068 Phone: 816-781-4007 Fax: 816-407-1066 | |
Dr. Charles William Beggs, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2521 Glenn Hendren Dr, Suite 108, Liberty, MO 64068 Phone: 816-781-3515 Fax: 816-781-3517 | |
Michael Earl Gorton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068 Phone: 816-407-5490 Fax: 816-407-5491 |