Matthew Cianciolo, DO | |
20 Ne Saint Lukes Blvd, Ste. 200, Lees Summit, MO 64086-6001 | |
(813) 347-5100 | |
(816) 347-5136 |
Full Name | Matthew Cianciolo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 20 Ne Saint Lukes Blvd, Lees Summit, 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 |
---|---|---|---|
1053362681 | NPI | - | NPPES |
1053362681 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2006004613 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Lukes Home Care | Kansas city, MO | Home health agency |
St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
Saint Luke's East Hospital | Lees summit, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Saint Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
Mailing Address | Practice Location Address |
---|---|
Matthew Cianciolo, DO 901 E. 104th St., Mailstop 400n, Kansas City, MO 64131-9712 Ph: (816) 502-7104 | Matthew Cianciolo, DO 20 Ne Saint Lukes Blvd, Ste. 200, Lees Summit, MO 64086-6001 Ph: (813) 347-5100 |
Dr. Valaree Rosann Smith, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2317 Ne Sweet Water Dr, Lees Summit, MO 64086 Phone: 816-525-7310 Fax: 816-525-7310 | |
Matthew Timothy Myrick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 Fax: 816-932-3148 | |
Dr. John William Klema Iii, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4963 Ne Goodview Cir Ste B, Lees Summit, MO 64064 Phone: 816-795-7100 Fax: 816-795-7105 | |
Bradley Dean Chrisjohn, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Sw 3rd St, Lees Summit, MO 64063 Phone: 816-524-3799 Fax: 913-495-3727 | |
Crystal Brown-vredenburg, Family Medicine Medicare: Medicare Enrolled Practice Location: 20 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-347-5100 Fax: 816-347-5136 | |
Dr. Chad W Sharky, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 612 Sw 3rd St Ste D, Lees Summit, MO 64063 Phone: 816-355-5007 Fax: 208-845-6049 |