Dr Stephanie Marie Revels, MD | |
3135 Prospect Ave, Kansas City, MO 64128-1552 | |
(816) 209-1237 | |
(816) 577-5091 |
Full Name | Dr Stephanie Marie Revels |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 3135 Prospect Ave, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043267404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04-28042 (Kansas) | Secondary |
207Q00000X | Family Medicine | R3H32 (Missouri) | Primary |
Entity Name | Archwell Health Professional Services Of Kansas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083289086 PECOS PAC ID: 4688072358 Enrollment ID: O20211011001089 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie Marie Revels, MD 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: (615) 314-5257 | Dr Stephanie Marie Revels, MD 3135 Prospect Ave, Kansas City, MO 64128-1552 Ph: (816) 209-1237 |
George Wesley Roodhouse, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 6675 Holmes Rd Ste 360, Kansas City, MO 64131 Phone: 816-276-7650 Fax: 816-276-7992 | |
Dr. Avery Thomas Abernathy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6450 N Chatham Ave, Kansas City, MO 64151 Phone: 816-741-5542 Fax: 816-746-4262 | |
Rance Mcclain, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Carondelet Dr, Suite #220, Kansas City, MO 64114 Phone: 816-941-1600 Fax: 816-941-1699 | |
Dr. Valerie Lynn Duff, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Dr Martin Luther King Jr Blvd, Kansas City, MO 64130 Phone: 816-923-5800 | |
Dr. Heather Renee Bollinger, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Nw 62nd Ter Ste 100, Kansas City, MO 64151 Phone: 816-842-4440 Fax: 816-842-1974 | |
Christopher Paul Trimble, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9784 N Ash Ave, Kansas City, MO 64157 Phone: 816-781-4244 Fax: 816-781-3542 | |
Dr. Jason Mathew Goergen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6675 Holmes Rd, Suite 450, Kansas City, MO 64131 Phone: 816-276-7600 |