Evan Russell, DO | |
2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | |
(816) 455-0681 | |
(816) 455-5294 |
Full Name | Evan Russell |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 10 Years |
Location | 2700 Clay Edwards Dr Ste 240, North Kansas City, 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 |
---|---|---|---|
1902211808 | NPI | - | NPPES |
1902211808 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2017013099 (Missouri) | Secondary |
207R00000X | Internal Medicine | AP2282058A (Ohio) | Secondary |
208M00000X | Hospitalist | 2017013099 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Kansas City Hospital | North kansas city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meritas Health Corporation | 6305748153 | 362 |
Entity Name | Meritas Health Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801875091 PECOS PAC ID: 6305748153 Enrollment ID: O20040122001058 |
Mailing Address | Practice Location Address |
---|---|
Evan Russell, DO 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 Ph: (816) 455-0681 | Evan Russell, DO 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 Ph: (816) 455-0681 |
Dr. Richard Ainsworth Mills, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 2790 Clay Edwards Dr Ste 520, North Kansas City, MO 64116 Phone: 816-221-6750 Fax: 816-221-2335 | |
Benjamin Saylor, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-455-0681 Fax: 816-455-5294 | |
Srinivas R Bapoje, MD., MPH Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2790 Clay Edwards Dr, Suite 520, North Kansas City, MO 64116 Phone: 816-221-6750 Fax: 816-221-2335 | |
Mr. Monoj Kumar Konda, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 877-840-6992 Fax: 913-495-3712 | |
Parker William Redlien, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-455-0681 Fax: 816-455-5294 | |
Mr. Muhammad Kumail Shah, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-455-0681 Fax: 816-455-5294 | |
Ian Richard Tally, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-455-0681 Fax: 816-455-5294 |