Dr Wylie Craig De Vera, MD | |
5501 Nw 62nd Ter Ste 100, Kansas City, MO 64151-2412 | |
(816) 842-4440 | |
(816) 842-1974 |
Full Name | Dr Wylie Craig De Vera |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 5501 Nw 62nd Ter Ste 100, 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 |
---|---|---|---|
1033307376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301106085 (Michigan) | Secondary |
207R00000X | Internal Medicine | 2022026486 (Missouri) | Primary |
Entity Name | Clay Platte Family Medicine Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073570487 PECOS PAC ID: 3173424231 Enrollment ID: O20040120000899 |
Mailing Address | Practice Location Address |
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Dr Wylie Craig De Vera, MD 5501 Nw 62nd Ter Ste 100, Kansas City, MO 64151-2412 Ph: (816) 842-4440 | Dr Wylie Craig De Vera, MD 5501 Nw 62nd Ter Ste 100, Kansas City, MO 64151-2412 Ph: (816) 842-4440 |
Maria Akram Sheikh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-0340 Fax: 816-932-3148 | |
Dr. Philip Barigbi Augustine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4150 N Mulberry Dr, Kansas City, MO 64116 Phone: 816-912-4539 Fax: 855-813-6642 | |
Lucas Vocelka, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2340 E Meyer Blvd, Bldg 2, Suite 392, Kansas City, MO 64132 Phone: 816-444-7977 Fax: 630-528-9578 | |
Karla L Houston-gray, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1004 Carondelet Dr Ste 300, Kansas City, MO 64114 Phone: 816-942-4500 Fax: 816-941-4504 | |
Carl D Dirks, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4320 Wornall Rd, Suite 65, Kansas City, MO 64111 Phone: 816-932-6100 Fax: 816-932-9002 | |
Michelle L Dew, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111 Phone: 816-931-1883 Fax: 816-756-3645 | |
Brenda J Rogers, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 |