Dr Guy Alexander Fogg, MD | |
11605 E 23rd St S, Independence, MO 64050-4201 | |
(816) 579-6891 | |
Not Available |
Full Name | Dr Guy Alexander Fogg |
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Gender | Male |
Speciality | Internal Medicine |
Location | 11605 E 23rd St S, Independence, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881071124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 04-47208 (Kansas) | Secondary |
207R00000X | Internal Medicine | MD195200 (Oregon) | Secondary |
207R00000X | Internal Medicine | 2023005511 (Missouri) | Primary |
Entity Name | Good Shepherd Health Care System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
Mailing Address | Practice Location Address |
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Dr Guy Alexander Fogg, MD 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: (615) 314-5257 | Dr Guy Alexander Fogg, MD 11605 E 23rd St S, Independence, MO 64050-4201 Ph: (816) 579-6891 |
Scott Koerber, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S Ste 215, Independence, MO 64057 Phone: 816-461-6837 | |
Mrs. Fatima Ali, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19550 E 39th St S Ste 310, Independence, MO 64057 Phone: 913-222-9779 Fax: 816-698-7378 | |
Dr. Mahesh Dutt Chandra, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4911 S Arrowhead Dr, Suite 200, Independence, MO 64055 Phone: 816-795-9595 Fax: 816-795-1188 | |
Stephen Dickson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19550 E 39th St S Ste 215, Independence, MO 64057 Phone: 816-461-6837 | |
Brent W Beasley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 16659 E 23rd St S, Independence, MO 64055 Phone: 816-688-6000 Fax: 816-631-1885 | |
Dr. Ritika Kaushal, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-222-9779 Fax: 816-312-4380 | |
Pamela Maben, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4911 S Arrowhead Dr, Suite 200, Independence, MO 64055 Phone: 816-795-9595 Fax: 816-795-1188 |