Dr Nicholas Adam Rudloff, DO | |
1805 Nw Platte Rd Ste 120, Riverside, MO 64150-7500 | |
(816) 472-0400 | |
Not Available |
Full Name | Dr Nicholas Adam Rudloff |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 13 Years |
Location | 1805 Nw Platte Rd Ste 120, Riverside, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407006364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 2014025262 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epiphany Dermatology Of Missouri Llc | 1153689294 | 14 |
Sunflower Dermatology And Day Spa Llc | 9931161635 | 5 |
Entity Name | Sunflower Dermatology & Day Spa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053437392 PECOS PAC ID: 9931161635 Enrollment ID: O20041103000806 |
Entity Name | Epiphany Dermatology Of Missouri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528573342 PECOS PAC ID: 1153689294 Enrollment ID: O20171219003630 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicholas Adam Rudloff, DO 1805 Nw Platte Rd Ste 120, Riverside, MO 64150-7500 Ph: (816) 472-0400 | Dr Nicholas Adam Rudloff, DO 1805 Nw Platte Rd Ste 120, Riverside, MO 64150-7500 Ph: (816) 472-0400 |
Dr. Molly Bea Menser, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1805 Nw Platte Rd, Suite 120, Riverside, MO 64150 Phone: 816-472-0400 Fax: 816-472-0813 | |
Dr. Brian Martin Matthys, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1805 Nw Platte Rd, Suite 120, Riverside, MO 64150 Phone: 816-472-0400 |