Matthew Timothy Myrick, MD | |
100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | |
(816) 932-0340 | |
(816) 932-3148 |
Full Name | Matthew Timothy Myrick |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 100 Ne Saint Lukes Blvd, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003445990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2020019358 (Missouri) | Secondary |
208M00000X | Hospitalist | 2023027651 (Missouri) | Primary |
Entity Name | Saint Lukes Physician Group Inc |
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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 |
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Matthew Timothy Myrick, MD 7900 Lees Summit Rd, Kansas City, MO 64139-1246 Ph: (816) 404-9597 | Matthew Timothy Myrick, MD 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 Ph: (816) 932-0340 |
Jill Marie Huded, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 Fax: 816-932-3148 | |
Dr. Krishan Kant Kataria, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 | |
Ahmed Sidiya Taleb Abdellah, M.D Hospitalist Medicare: Medicare Enrolled Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 | |
Roshani R Desai, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 Fax: 816-932-3148 | |
Srilatha Konduri Gannavaram, MBBS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 20 Ne Saint Lukes Blvd, Ste. 350, Lees Summit, MO 64086 Phone: 816-347-5600 Fax: 816-347-5674 | |
Heather Cristin Toney, D.O Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 290 Ne Tudor Rd, Lees Summit, MO 64086 Phone: 816-524-5522 Fax: 816-524-4798 | |
Dr. Leslie Anne Fields, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Sw Longview Blvd Ste 200, Lees Summit, MO 64081 Phone: 913-215-5008 Fax: 913-297-1202 |