Jared Gross, | |
711 N 36th St, Saint Joseph, MO 64506-2977 | |
(816) 271-4022 | |
(816) 271-4020 |
Full Name | Jared Gross |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 711 N 36th St, Saint Joseph, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376006890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7126 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | 2022029081 (Missouri) | Primary |
Entity Name | Heartland Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
Mailing Address | Practice Location Address |
---|---|
Jared Gross, 711 N 36th St, Saint Joseph, MO 64506-2977 Ph: (816) 271-4022 | Jared Gross, 711 N 36th St, Saint Joseph, MO 64506-2977 Ph: (816) 271-4022 |
Dr. Juan C Dominguez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5210 North Belt Hwy, Saint Joseph, MO 64506 Phone: 816-271-4995 Fax: 816-271-4915 | |
Steven L Puderbaugh, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1314 N 36th St, Saint Joseph, MO 64506 Phone: 800-952-8387 Fax: 913-758-8387 | |
Dr. Sameer Gupta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4906 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-396-0245 Fax: 816-817-5746 | |
Dr. Thomas W Alderson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 N 36th St, Saint Joseph, MO 64506 Phone: 816-271-4022 Fax: 816-271-4020 | |
John Lee Cook, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Heartland Rd Ste 3800, Saint Joseph, MO 64506 Phone: 816-671-4800 Fax: 816-279-0421 | |
Dr. Lisa Renee Nordberg, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3949 Sherman Ave, Saint Joseph, MO 64506 Phone: 816-279-4882 | |
Jana Marie Hill, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 N Belt Hwy, Saint Joseph, MO 64506 Phone: 816-271-7077 Fax: 816-271-4998 |