| Functional Pharmd Consulting | |
|
2101 Nw Platte Rd Riverside MO 64150-8800 | |
| (816) 569-2815 | |
| Not Available |
| Full Name | Functional Pharmd Consulting |
|---|---|
| Speciality | Family Medicine |
| Location | 2101 Nw Platte Rd, Riverside, Missouri |
| Authorized Official Name and Position | Josie Ross (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8165692815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Pharmd Consulting 2101 Nw Platte Rd Riverside MO 64150-8800 Ph: (816) 569-2815 | Functional Pharmd Consulting 2101 Nw Platte Rd Riverside MO 64150-8800 Ph: (816) 569-2815 |
| NPI Number | 1639855182 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Medicare PECOS PAC ID | 9032562855 |
|---|---|
| Medicare Enrollment ID | O20240129002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639855182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Maria Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881055754 PECOS PAC ID: 1052764883 Enrollment ID: I20240129002523 |
Swope Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2908 Nw Vivion Rd Ste 100, Riverside, MO 64150 Phone: 816-627-2050 | |
Serc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Nw Platte Valley Dr, Riverside, MO 64150 Phone: 816-505-3422 Fax: 816-505-3312 |