Carly Shaw, APRN | |
4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | |
(816) 478-4200 | |
(816) 875-2598 |
Full Name | Carly Shaw |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 4880 Ne Goodview Cir, Lees Summit, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689229809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2019026180 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascentist Physicians Group Llc | 9335143759 | 109 |
Ascentist Physicians Group Llc | 9335143759 | 109 |
Entity Name | Ascentist Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649206319 PECOS PAC ID: 9335143759 Enrollment ID: O20060826000062 |
Mailing Address | Practice Location Address |
---|---|
Carly Shaw, APRN 3340 Ne Ralph Powell Rd Ste B, Lees Summit, MO 64064-2368 Ph: (816) 478-4200 | Carly Shaw, APRN 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 Ph: (816) 478-4200 |
Sherry L Broadhurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-246-4302 | |
Rachael Goodman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Executive Way Ste E, Lees Summit, MO 64063 Phone: 816-434-5205 Fax: 816-434-5207 | |
Ms. Brenda Sue Salazar, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3066 Sw Grandstand Cir, Lees Summit, MO 64081 Phone: 913-215-5008 Fax: 816-447-3960 | |
Mr. Thomas Christian Sims, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 | |
Brittany Ann Shingleton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 Se Briarcroft St, Lees Summit, MO 64063 Phone: 816-872-8110 | |
Mrs. Makenzie Kayla Stroup, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3521 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-533-4398 | |
Flora Ann Gorham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 |