Dr Scott C Cozad, MD | |
2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068-9625 | |
(816) 415-2147 | |
(816) 415-2158 |
Full Name | Dr Scott C Cozad |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 2529 Glenn Hendren Dr, Liberty, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487616058 | NPI | - | NPPES |
100135400A | Medicaid | KS | |
203541602 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | R3J99 (Missouri) | Primary |
2085R0001X | Radiology - Radiation Oncology | 04-22900 (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 |
---|---|
Dr Scott C Cozad, MD 6601 Winchester Ave, Suite 230, Kansas City, MO 64133-4677 Ph: (816) 313-2677 | Dr Scott C Cozad, MD 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068-9625 Ph: (816) 415-2147 |
Joseph Caresio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 | |
Randall C Newth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
Mary E Macnaughton, MD Radiology Medicare: Medicare Enrolled Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
Dr. John Brian Pope, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn W Hendren Drive, Liberty, MO 64068 Phone: 816-407-2038 | |
Timothy G Raveill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
Christine A Keesling, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 |