Leslie K Wiscombe, DO | |
10000 E 66th Ter, Raytown, MO 64133-5251 | |
(816) 737-1037 | |
(816) 737-0477 |
Full Name | Leslie K Wiscombe |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 10000 E 66th Ter, Raytown, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235123126 | NPI | - | NPPES |
100001310F | Medicaid | KS | |
240345017 | Medicaid | MO | |
1235123126 | Medicaid | MO | |
100001310E | Medicaid | KS | |
100001310D | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33655 (Missouri) | Primary |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Waldo Wellness Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972761187 PECOS PAC ID: 5799855797 Enrollment ID: O20080603000353 |
Mailing Address | Practice Location Address |
---|---|
Leslie K Wiscombe, DO 10000 E 66th Ter, Raytown, MO 64133-5251 Ph: (816) 737-1037 | Leslie K Wiscombe, DO 10000 E 66th Ter, Raytown, MO 64133-5251 Ph: (816) 737-1037 |
Dr. Jinming Song, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9406 E 63rd St, Raytown, MO 64133 Phone: 816-404-8029 | |
Dr. Rebecca Lynn Turner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9406 E 63rd St, Raytown, MO 64133 Phone: 816-356-1000 Fax: 816-356-9220 | |
Sequita L Richardson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9300 E Gregory Blvd Ste A, Raytown, MO 64133 Phone: 816-946-6930 Fax: 855-813-5433 | |
Tamareal Ross, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9490 E State Route 350, Raytown, MO 64133 Phone: 816-256-4089 Fax: 816-731-1548 | |
Nevada Lee, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6317 Evanston Ave, Raytown, MO 64133 Phone: 816-353-3939 Fax: 816-353-2688 | |
Linnea Williams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6317 Evanston Ave, Raytown, MO 64133 Phone: 816-353-3939 |