Dr Robert J Boulware, MD | |
1131 W Kansas St, Liberty, MO 64068-2281 | |
(816) 792-5577 | |
Not Available |
Full Name | Dr Robert J Boulware |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 1131 W Kansas St, Liberty, 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 |
---|---|---|---|
1801978259 | NPI | - | NPPES |
203723408 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R6P08 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Lukes Home Care | Kansas city, MO | Home health agency |
North Kansas City Hospital | North kansas city, MO | Hospital |
New Liberty Hospital District | Liberty, MO | Hospital |
Hedrick Medical Center | Chillicothe, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gladstone Urgent Care, Llc | 1052613007 | 2 |
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Boulware Medical Clinic L.l.c. | 6406840081 | 3 |
Entity Name | Boulware Medical Clinic L.l.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548462799 PECOS PAC ID: 6406840081 Enrollment ID: O20040414001473 |
Entity Name | Gladstone Urgent Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598143885 PECOS PAC ID: 1052613007 Enrollment ID: O20160107001015 |
Mailing Address | Practice Location Address |
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Dr Robert J Boulware, MD 1131 W Kansas St, Liberty, MO 64068-2281 Ph: (816) 792-5577 | Dr Robert J Boulware, MD 1131 W Kansas St, Liberty, MO 64068-2281 Ph: (816) 792-5577 |
Julie Anne Marx, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-781-6973 | |
Dr. Jonathan Philip Horwitz, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2521 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-478-4887 Fax: 816-478-7140 | |
Dr. William T Boulware, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1131 W Kansas St, Liberty, MO 64068 Phone: 816-792-5577 | |
Elizabeth Kay Gerstner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2609 Glenn Hendren Drive, Liberty, MO 64068 Phone: 816-781-7730 Fax: 816-415-1886 | |
Mr. Demetrios George Maragos, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068 Phone: 816-407-5430 Fax: 816-407-5435 | |
Dr. Terrence W Coleman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2521 Glenn Hendren Dr Ste 411b, Liberty, MO 64068 Phone: 816-429-6057 Fax: 816-429-5709 | |
Dr. Neal Blakely Anson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2609 Glenn Hendren Drive, Liberty, MO 64068 Phone: 816-781-7730 Fax: 816-415-1886 |