Julie Ann Green, MD | |
3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 | |
(913) 451-7546 | |
(816) 524-4929 |
Full Name | Julie Ann Green |
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Gender | Female |
Speciality | Dermatology |
Location | 3265 Ne Ralph Powell Rd, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184935256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 2010017730 (Missouri) | Primary |
Entity Name | Dermatology And Skin Cancer Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205880846 PECOS PAC ID: 5294721486 Enrollment ID: O20040422001277 |
Mailing Address | Practice Location Address |
---|---|
Julie Ann Green, MD 11550 Granada St, Leawood, KS 66211-1453 Ph: (913) 451-7546 | Julie Ann Green, MD 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 Ph: (913) 451-7546 |
Nicholas Joseph Golda, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 913-907-2496 | |
Grant Jeffrey Randall, MD Dermatology Medicare: Medicare Enrolled Practice Location: 601 Nw Obrien Rd, Lees Summit, MO 64063 Phone: 816-287-1528 Fax: 343-503-0640 | |
Theresa Katherine Mattingly, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-524-4747 Fax: 816-524-4929 | |
Sheldon Sebastian, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-524-4747 Fax: 816-524-4929 | |
David Ryan Fieleke, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1728 Ne Nine Oaks Dr, Lees Summit, MO 64086 Phone: 573-356-7265 | |
Dr. Brea Nicole Sturm, MD Dermatology Medicare: Medicare Enrolled Practice Location: 601 Nw Obrien Rd, Lees Summit, MO 64063 Phone: 816-287-1528 Fax: 816-287-1528 |