Kenneth Koontz, MD | |
1000 Carondelet Dr, Kansas City, MO 64114-4673 | |
(913) 599-6777 | |
(913) 599-3955 |
Full Name | Kenneth Koontz |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 1000 Carondelet Dr, 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 |
---|---|---|---|
1689613093 | NPI | - | NPPES |
16332035 | Other | BCBS PROVIDER NUMBER | |
100126630B | Medicaid | KS | |
203305107 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | R3M47 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bothwell Regional Health Center | Sedalia, MO | Hospital |
Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
St Joseph Medical Center | Kansas city, MO | Hospital |
St Marys Medical Center | Blue springs, MO | Hospital |
Adventhealth Ottawa | Ottawa, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Radiology Pa | 8426961517 | 34 |
Regional Imaging, Llc | 5991713885 | 15 |
Chippewa Valley Hospital And Oakview Care Center Inc | 6901700517 | 18 |
Alliance Radiology Pa | 8426961517 | 34 |
Johnson County Imaging Center, Inc | 8628978053 | 26 |
Entity Name | Alliance Radiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467400663 PECOS PAC ID: 8426961517 Enrollment ID: O20031105000794 |
Entity Name | Johnson County Imaging Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720135114 PECOS PAC ID: 8628978053 Enrollment ID: O20200611000316 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Koontz, MD 8000 W 110th St, Ste 150, Overland Park, KS 66210-2382 Ph: (913) 599-6777 | Kenneth Koontz, MD 1000 Carondelet Dr, Kansas City, MO 64114-4673 Ph: (913) 599-6777 |
Yuri Shif, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2550 Fax: 816-932-2698 | |
Dr. Mark J Malley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 630 Nw Englewood Rd, Kansas City, MO 64118 Phone: 816-453-2700 Fax: 816-453-9943 | |
Megan Saettele, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4321 Washington St, Suite 100, Kansas City, MO 64111 Phone: 816-932-2307 Fax: 816-932-7957 | |
Kristin Anne Leland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 Fax: 816-302-9939 | |
Julia J. Neperud, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, Kansas City, MO 64116 Phone: 816-691-5201 Fax: 816-346-7063 | |
Sherwin Shiu-cheung Chan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 | |
Dr. Marci A Brecheisen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, Kansas City, MO 64116 Phone: 816-691-5201 Fax: 816-346-7063 |