Dr Mark Redick, MD | |
2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 | |
(913) 588-6805 | |
(913) 588-7899 |
Full Name | Dr Mark Redick |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2330 Shawnee Mission Pkwy, Westwood, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063489631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 111830 (Missouri) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 04-24522 (Kansas) | Primary |
Entity Name | Kansas University Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
Entity Name | University Of Kansas Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528019502 PECOS PAC ID: 9436054798 Enrollment ID: O20050908001103 |
Mailing Address | Practice Location Address |
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Dr Mark Redick, MD Po Box 411851, Kansas City, MO 64141-1851 Ph: (913) 588-6805 | Dr Mark Redick, MD 2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 Ph: (913) 588-6805 |
Molly Hill, MD Radiology Medicare: Medicare Enrolled Practice Location: 2650 Shawnee Mission Parkway Level 1, Westwood, KS 66205 Phone: 913-588-7750 | |
Jason B. Gatewood, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Shawnee Mission Pkwy, Westwood, KS 66205 Phone: 913-588-6805 Fax: 913-588-7899 | |
Hannah Leigh Singhal, MD Radiology Medicare: Medicare Enrolled Practice Location: 2650 Shawnee Mission Pkwy, Westwood, KS 66205 Phone: 913-626-9682 |