Mr Robert Nelson Cooley Jr, DO | |
1301 N 47th St, Kansas City, KS 66102-2152 | |
(913) 328-4609 | |
(913) 328-4603 |
Full Name | Mr Robert Nelson Cooley Jr |
---|---|
Gender | Male |
Speciality | Family Medicine - Adolescent Medicine |
Location | 1301 N 47th St, Kansas City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376603084 | NPI | - | NPPES |
208767905 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0000X | Family Medicine - Adolescent Medicine | 30772 (Kansas) | Primary |
Entity Name | Samuel U Rodgers Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578570982 PECOS PAC ID: 9739092826 Enrollment ID: O20031105000813 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Nelson Cooley Jr, DO 5515 W 81st Ter, Prairie Village, KS 66208-4957 Ph: (913) 649-0880 | Mr Robert Nelson Cooley Jr, DO 1301 N 47th St, Kansas City, KS 66102-2152 Ph: (913) 328-4609 |
Faith Madeline Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd # Ms 4010, Kansas City, KS 66160 Phone: 913-588-1908 | |
William S Greiner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2040 Hutton Rd, Suite 102, Kansas City, KS 66109 Phone: 913-299-3700 Fax: 913-299-3050 | |
Bailee Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160 Phone: 913-588-1908 | |
Margaret A Killam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8101 Parallel Pkwy, Ste 100, Kansas City, KS 66112 Phone: 913-299-9200 Fax: 913-299-9210 | |
Dr. Alex Olivia Katubig, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-945-6810 | |
Dr. John Degraffenreid, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160 Phone: 913-588-1908 Fax: 913-588-8387 | |
Michael M Parra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8101 Parallel Pkwy Ste 100, Kansas City, KS 66112 Phone: 913-299-9200 Fax: 913-299-9210 |