| Paul C Vescovo Jr, MD | |
|
5601 N. Antioch, Creekwood Family Care, Ste. 12, Gladstone, MO 64119 | |
| (816) 452-8000 | |
| (816) 455-2382 |
| Full Name | Paul C Vescovo Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 5601 N. Antioch, Gladstone, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639119530 | NPI | - | NPPES |
| 01887062 | Other | BCBS PROVIDER NUMBER | |
| 157695XX | Other | PREFERRED CARE OF NY | |
| 481159444 | Other | TAX ID | |
| 110192165 | Other | MO | RR MEDICARE NUMBER |
| 2057250 | Other | AETNA | |
| 18960020 | Other | CFU BCBS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R1330 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Paul C Vescovo Jr, MD 2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med, Ste. 312, Westwood, KS 66205-2005 Ph: (913) 588-9000 | Paul C Vescovo Jr, MD 5601 N. Antioch, Creekwood Family Care, Ste. 12, Gladstone, MO 64119 Ph: (816) 452-8000 |
Dr. Daniel Mark Cline, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Nw Englewood Rd, Gladstone, MO 64118 Phone: 816-453-1818 | |
Dr. Bruce A Kauk, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6080 N. Oak Trafficway, Gladstone, MO 64118 Phone: 816-453-9232 Fax: 816-455-2423 |