Mr Rusty Bergman, DO | |
5675 Roe Blvd, Roeland Park, KS 66205-2515 | |
(913) 432-2080 | |
Not Available |
Full Name | Mr Rusty Bergman |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 28 Years |
Location | 5675 Roe Blvd, Roeland Park, Kansas |
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 |
---|---|---|---|
1649277500 | NPI | - | NPPES |
245007000 | Medicaid | MO | |
200304450A | Medicaid | KS | |
7749362 | Other | MO | AETNA |
33625014 | Other | MO | BLUE SHIELD KANSAS CITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 05-31668 (Kansas) | Primary |
207R00000X | Internal Medicine | 111070 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
North Kansas City Hospital | North kansas city, MO | Hospital |
New Liberty Hospital District | Liberty, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gates Hospitalists Llc | 1759287527 | 12 |
Entity Name | Gates Hospitalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699774893 PECOS PAC ID: 1759287527 Enrollment ID: O20031211000431 |
Mailing Address | Practice Location Address |
---|---|
Mr Rusty Bergman, DO 5675 Roe Blvd, Roeland Park, KS 66205-2515 Ph: (913) 432-2080 | Mr Rusty Bergman, DO 5675 Roe Blvd, Roeland Park, KS 66205-2515 Ph: (913) 432-2080 |
Yvette L Crabtree, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5675 Roe Blvd, Suite 100, Roeland Park, KS 66205 Phone: 913-432-2080 Fax: 913-432-5183 | |
Paul H Kurth, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5675 Roe Blve, Suite 100, Roeland Park, KS 66205 Phone: 913-432-2080 Fax: 913-432-5183 | |
Thomas M Snodell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5675 Roe Blvd, Suite 100, Roeland Park, KS 66205 Phone: 913-432-2080 Fax: 913-432-5183 | |
George S Postma Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5675 Roe Blvd, Suite 100, Roeland Park, KS 66205 Phone: 913-432-2080 |