Dr Donna Pacicca, MD | |
2401 Gillham Rd, Kansas City, MO 64108-4619 | |
(816) 234-3000 | |
Not Available |
Full Name | Dr Donna Pacicca |
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Gender | Female |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 2401 Gillham 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 |
---|---|---|---|
1780633180 | NPI | - | NPPES |
100446910A | Medicaid | KS | |
205989809 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 2002030220 (Missouri) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Mailing Address | Practice Location Address |
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Dr Donna Pacicca, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: () - | Dr Donna Pacicca, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 234-3000 |
Christopher L Wise, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116 Phone: 816-561-3003 Fax: 816-889-1584 | |
Dr. Andre Miklos Jakoi, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116 Phone: 816-561-3003 Fax: 816-889-1584 | |
Jonathan Rory Dubin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2101 Charlotte St, Kansas City, MO 64108 Phone: 816-404-0072 | |
Dr. Houssam Bouloussa, MD, MS Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2101 Charlotte St, Kansas City, MO 64108 Phone: 816-404-0072 | |
Jeffrey Aaron Krempec, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116 Phone: 816-561-3003 Fax: 816-889-1584 | |
Dr. Nathan John Kiewiet, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116 Phone: 816-561-3003 Fax: 816-889-1584 | |
Katherine Cecilia Branche, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 303-724-5000 |