| |
2700 Clay Edwards Dr Ste 360, North Kansas City, MO 64116-3270 | |
(816) 455-8900 | |
(816) 455-8901 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 2700 Clay Edwards Dr Ste 360, North Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083821904 | NPI | - | NPPES |
308093905 | Medicaid | MO | |
22440035 | Other | MO | BCBS ID |
CJ8263 | Other | MO | RAILROAD MEDICARE |
1033147277 | Other | MO | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | 679 (Missouri) | Primary |
Provider Name | Michael N Fine |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1033147277 PECOS PAC ID: 7012072036 Enrollment ID: I20090206000517 |
Mailing Address | Practice Location Address |
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2700 Clay Edwards Dr Ste 360, Kansas City, MO 64116-3270 Ph: (816) 455-8900 | 2700 Clay Edwards Dr Ste 360, North Kansas City, MO 64116-3270 Ph: (816) 455-8900 |
Dr. Robert A Shemwell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr, Suite 370, North Kansas City, MO 64116 Phone: 816-842-3663 Fax: 816-842-2274 |