| Jasper Fullard, MD | |
|
5746 N Broadway St, Kansas City, MO 64118-3998 | |
| (816) 912-4539 | |
| (855) 813-6642 |
| Full Name | Jasper Fullard |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 5746 N Broadway St, 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 |
|---|---|---|---|
| 1770523540 | NPI | - | NPPES |
| 100093400F | Medicaid | KS |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770904898 PECOS PAC ID: 9234041948 Enrollment ID: O20140225000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Fullard, MD Po Box 1239, Troy, MI 48099-1239 Ph: (248) 824-6600 | Jasper Fullard, MD 5746 N Broadway St, Kansas City, MO 64118-3998 Ph: (816) 912-4539 |
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 |