Dr Jay Alan Riseman, MD | |
12300 Metcalf Ave, Overland Park, KS 66213-1324 | |
(816) 932-2239 | |
Not Available |
Full Name | Dr Jay Alan Riseman |
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Gender | Male |
Speciality | Surgery - Hospice And Palliative Medicine |
Location | 12300 Metcalf Ave, Overland Park, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174505366 | NPI | - | NPPES |
1174505366 | Medicaid | MO | |
200852540B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086H0002X | Surgery - Hospice And Palliative Medicine | 2008021950 (Missouri) | Primary |
2086H0002X | Surgery - Hospice And Palliative Medicine | 04-34116 (Kansas) | Secondary |
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 |
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Dr Jay Alan Riseman, MD 901 E 104th St, Ms 400s, Kansas City, MO 64131 Ph: (816) 502-8752 | Dr Jay Alan Riseman, MD 12300 Metcalf Ave, Overland Park, KS 66213-1324 Ph: (816) 932-2239 |
Dr. Austin Wayne Lehr, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 10730 Nall Ave, Ste 101, Overland Park, KS 66211 Phone: 913-754-2800 Fax: 913-754-2899 | |
Dr. Aureliane N Hardy, MD Surgery Medicare: Medicare Enrolled Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-498-6000 | |
Dr. Amie Christina Jew, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10787 Nall Ave Ste 220, Overland Park, KS 66211 Phone: 913-945-9400 Fax: 913-945-9410 | |
Dr. Jesse Joseph Lopez Jr., D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7201 W 110th St Ste 120, Overland Park, KS 66210 Phone: 913-647-3999 Fax: 913-754-1046 | |
Mr. Christopher Thomas Cummings, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10600 Mastin St, Overland Park, KS 66212 Phone: 913-469-6447 | |
Victor Costa, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5100 W 110th St Ste 110, Overland Park, KS 66211 Phone: 913-345-6960 Fax: 913-345-6966 | |
Dr. Lauren Welch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9001 W 120th Ter, Overland Park, KS 66213 Phone: 913-608-5566 Fax: 913-608-5566 |