Dr Gentry Kemp Ward Russell, MD | |
4401 Wornall Rd, Kansas City, MO 64111-3220 | |
(816) 932-5345 | |
(816) 932-3939 |
Full Name | Dr Gentry Kemp Ward Russell |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
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 |
---|---|---|---|
1730612888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2022007661 (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 |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
Entity Name | Miracl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
Mailing Address | Practice Location Address |
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Dr Gentry Kemp Ward Russell, MD 4401 Wornall Rd, Kansas City, MO 64111-3220 Ph: (816) 932-5345 | Dr Gentry Kemp Ward Russell, MD 4401 Wornall Rd, Kansas City, MO 64111-3220 Ph: (816) 932-5345 |
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 |