| Midwest Regional Telehealth Llc | |
|
931 Sw Lemans Ln Lees Summit MO 64082-4619 | |
| (816) 708-8853 | |
| (816) 623-3076 |
| Full Name | Midwest Regional Telehealth Llc |
|---|---|
| Speciality | General Practice |
| Location | 931 Sw Lemans Ln, Lees Summit, Missouri |
| Authorized Official Name and Position | Lisa M Mcmillin (OFFICE MANAGER) |
| Authorized Official Contact | 8167088853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Regional Telehealth Llc 931 Sw Lemans Ln Lees Summit MO 64082-4619 Ph: (816) 708-8853 | Midwest Regional Telehealth Llc 931 Sw Lemans Ln Lees Summit MO 64082-4619 Ph: (816) 708-8853 |
| NPI Number | 1992324768 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 9436596236 |
|---|---|
| Medicare Enrollment ID | O20240327003689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992324768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jeremy C Strom |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932320439 PECOS PAC ID: 7113175670 Enrollment ID: I20121005000294 |
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