Theresa Grace Mangler, | |
120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6011 | |
(816) 246-4302 | |
(816) 246-9493 |
Full Name | Theresa Grace Mangler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295443943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2023006144 (Missouri) | Primary |
Entity Name | Midland Care Connection, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962441378 PECOS PAC ID: 1557271715 Enrollment ID: O20050803000713 |
Mailing Address | Practice Location Address |
---|---|
Theresa Grace Mangler, 4440 Terrace St, Kansas City, MO 64111-4223 Ph: (417) 489-9322 | Theresa Grace Mangler, 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6011 Ph: (816) 246-4302 |
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 |