Jason Scott Lawrence Holly, MD | |
2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116-3237 | |
(816) 241-3338 | |
(816) 936-8118 |
Full Name | Jason Scott Lawrence Holly |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 18 Years |
Location | 2750 Clay Edwards Dr, N 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 |
---|---|---|---|
1023111259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2012023678 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
New Liberty Hospital District | Liberty, MO | Hospital |
North Kansas City Hospital | North kansas city, MO | Hospital |
Atchison Hospital | Atchison, KS | Hospital |
Anderson County Hospital | Garnett, KS | Hospital |
Providence Medical Center | Kansas city, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mawd Pathology Group Pa | 2668421389 | 38 |
Mawd Pathology Group Pa | 2668421389 | 38 |
Entity Name | Mawd Pathology Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033108519 PECOS PAC ID: 2668421389 Enrollment ID: O20061024000121 |
Entity Name | Mawd Pathology Partners Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508249228 PECOS PAC ID: 7618278771 Enrollment ID: O20151214001703 |
Entity Name | Mawd Pathologists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376209130 PECOS PAC ID: 5193102028 Enrollment ID: O20220517002528 |
Mailing Address | Practice Location Address |
---|---|
Jason Scott Lawrence Holly, MD 2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116-3237 Ph: (816) 241-3338 | Jason Scott Lawrence Holly, MD 2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116-3237 Ph: (816) 241-3338 |
Dr. Samuel K. Caughron, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116 Phone: 816-241-3338 |