Agewell Geriatrics | |
793 Nw 1621st Rd Bates City MO 64011-8395 | |
(816) 226-1182 | |
Not Available |
Full Name | Agewell Geriatrics |
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Speciality | Family Medicine |
Location | 793 Nw 1621st Rd, Bates City, Missouri |
Authorized Official Name and Position | James Lawrenzi (PHYSICIAN) |
Authorized Official Contact | 5733810305 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Agewell Geriatrics 793 Nw 1621st Rd Bates City MO 64011-8395 Ph: (816) 226-1182 | Agewell Geriatrics 793 Nw 1621st Rd Bates City MO 64011-8395 Ph: (816) 226-1182 |
NPI Number | 1447027362 |
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Provider Enumeration Date | 12/11/2023 |
Last Update Date | 11/20/2024 |
Medicare PECOS PAC ID | 0244681633 |
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Medicare Enrollment ID | O20240110002534 |
Identifier | Type | State | Issuer |
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1447027362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | James D Lawrenzi |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1174550313 PECOS PAC ID: 0941357669 Enrollment ID: I20090416000097 |
Provider Name | Jennifer Ann Grant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780957290 PECOS PAC ID: 1052562071 Enrollment ID: I20121121000068 |
Provider Name | Amanda Stanley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346946639 PECOS PAC ID: 7113392242 Enrollment ID: I20231128000128 |