Dr Marcellus Ryan Luwia, | |
5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | |
(816) 271-1350 | |
(816) 271-8810 |
Full Name | Dr Marcellus Ryan Luwia |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5514 Corporate Dr Ste 120, 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 |
---|---|---|---|
1659689677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 9409951 (Kansas) | Secondary |
208000000X | Pediatrics | 2019019525 (Missouri) | Primary |
Entity Name | Heartland Regional Medical Center |
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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 |
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Dr Marcellus Ryan Luwia, 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 Ph: (816) 271-1350 | Dr Marcellus Ryan Luwia, 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 Ph: (816) 271-1350 |
Nikola Karlo Bartulica, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 105 Far West Dr Ste 100, Saint Joseph, MO 64506 Phone: 816-271-8115 Fax: 816-271-8104 | |
Jamie Noelle Ball, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507 Phone: 816-271-1350 Fax: 816-271-1355 | |
Dr. Carmen Marie Ford, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 105 Far West Dr, Heartland Pediatric And Adult Care Suite 100, Saint Joseph, MO 64506 Phone: 816-271-8110 Fax: 816-271-8104 | |
Michaela Nicole Lopez, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000 | |
Timothy P Murphy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 N 36th St, Saint Joseph, MO 64506 Phone: 816-271-4022 Fax: 816-271-4020 | |
Rachel Warnert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6406 Fax: 816-271-7986 |