| Meritas Health Gashland | |
|
9411 N Oak Trfy Suite 100 Kansas City MO 64155-2262 | |
| (816) 436-1800 | |
| (816) 436-4241 |
| Full Name | Meritas Health Gashland |
|---|---|
| Speciality | Family Medicine |
| Location | 9411 N Oak Trfy, Kansas City, Missouri |
| Authorized Official Name and Position | Peggy F Scmitt (PRESIDENT AND CEO) |
| Authorized Official Contact | 8166912020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meritas Health Gashland 9411 N Oak Trfy Suite 100 Kansas City MO 64155-2262 Ph: (816) 436-1800 | Meritas Health Gashland 9411 N Oak Trfy Suite 100 Kansas City MO 64155-2262 Ph: (816) 436-1800 |
| NPI Number | 1962481457 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 03/16/2015 |
| Medicare PECOS PAC ID | 8426081613 |
|---|---|
| Medicare Enrollment ID | O20050917000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962481457 | NPI | - | NPPES |
| CP2492 | Other | RAILROAD MEDICARE2 | |
| CD2317 | Other | RAILROAD MEDICARE1 | |
| 01029014 | Other | MO | BCBS OF KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael J Dibernardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235109851 PECOS PAC ID: 3274432372 Enrollment ID: I20040107000936 |
| Provider Name | Rozella Ranes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902876568 PECOS PAC ID: 4789658550 Enrollment ID: I20070113000122 |
| Provider Name | Daniel R Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720024797 PECOS PAC ID: 9133229891 Enrollment ID: I20070710000678 |
| Provider Name | Stephanie Haupt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285604124 PECOS PAC ID: 4789714429 Enrollment ID: I20100607000889 |
| Provider Name | David Mccormick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336119205 PECOS PAC ID: 7214067784 Enrollment ID: I20100609000667 |
| Provider Name | Todd E Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700856358 PECOS PAC ID: 0840320347 Enrollment ID: I20100609000935 |
| Provider Name | Thomas Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770553323 PECOS PAC ID: 6406988138 Enrollment ID: I20100715000945 |
| Provider Name | Berent J Krumm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801866769 PECOS PAC ID: 4981736360 Enrollment ID: I20100721000044 |
| Provider Name | Martin A Kanne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255301172 PECOS PAC ID: 6709918840 Enrollment ID: I20100724000318 |
| Provider Name | Glen Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609846559 PECOS PAC ID: 4789718602 Enrollment ID: I20100813001056 |
| Provider Name | Andrew Jurgensmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750600573 PECOS PAC ID: 4789812231 Enrollment ID: I20140108001792 |
| Provider Name | Benjamin Reine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922373935 PECOS PAC ID: 6305075805 Enrollment ID: I20140203001472 |
| Provider Name | Steven R Ballard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134357668 PECOS PAC ID: 5092961243 Enrollment ID: I20140220000483 |
| Provider Name | Samantha Marie Fawcett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376807776 PECOS PAC ID: 6103075924 Enrollment ID: I20150806012097 |
| Provider Name | Sara J Deffenbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417395963 PECOS PAC ID: 1557667565 Enrollment ID: I20160711001079 |
| Provider Name | Jeffrey C Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790219210 PECOS PAC ID: 3173893930 Enrollment ID: I20200821000138 |
| Provider Name | Elizabeth Ann Pierson-poe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346767407 PECOS PAC ID: 7911315684 Enrollment ID: I20210416002149 |
| Provider Name | Dianne Winter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972008159 PECOS PAC ID: 0749525780 Enrollment ID: I20210813002365 |
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