Summit Geriatrics Llc - Medicare Primary Care in Lees Summit, MO

Summit Geriatrics Llc is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Lees Summit, Missouri. The current practice location for Summit Geriatrics Llc is 200 Ne Missouri Rd Ste 200, Lees Summit, Missouri. For appointments, you can reach them via phone at (913) 271-8676. The mailing address for Summit Geriatrics Llc is Po Box 7612, Overland Park, Kansas and phone number is (913) 271-8676.

Summit Geriatrics Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073745493. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (913) 271-8676.

Contact Information

Summit Geriatrics Llc
200 Ne Missouri Rd Ste 200
Lees Summit
MO 64086-4722
(913) 271-8676
(888) 856-3199

Primary Care Clinic Profile

Full NameSummit Geriatrics Llc
SpecialityFamily Medicine
Location200 Ne Missouri Rd Ste 200, Lees Summit, Missouri
Authorized Official Name and PositionShyam K. Akkulugari (CEO/SOLE OWNER)
Authorized Official Contact9132718676
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Summit Geriatrics Llc
Po Box 7612
Overland Park
KS 66207-0612

Ph: (913) 271-8676
Summit Geriatrics Llc
200 Ne Missouri Rd Ste 200
Lees Summit
MO 64086-4722

Ph: (913) 271-8676

NPI Details:

NPI Number1073745493
Provider Enumeration Date08/18/2009
Last Update Date12/07/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8325194277
Medicare Enrollment IDO20090918000237

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Medical Identifiers

Medical identifiers for Summit Geriatrics Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073745493NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Primary
207QH0002XFamily Medicine - Hospice And Palliative Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Summit Geriatrics Llc acts as a billing entity for following providers:
Provider NameShyam K Akkulugari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326031006
PECOS PAC ID: 3870536402
Enrollment ID: I20061101000415

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Provider NameLance A Vickery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801101613
PECOS PAC ID: 7517156094
Enrollment ID: I20121023000549

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