Antonette Consuelo Acosta-Dickson, MD
Individual provider Active NPI Family Medicine Physician · Kansas City, MO
NPI 1487625232 · NPPES record last updated Feb 20, 2013
Key facts
- NPI
- 1487625232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2003017244 (MO)
- Practice address
- 6450 N Chatham Ave
Kansas City, MO 64151 - Phone
- (816) 741-5542
- Fax
- (816) 746-4262
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Meritas Health Corporation
Practice addresses (Care Compare)
6450 N Chatham Ave
Kansas City, MO 64151-2403
Phone (816) 741-5542
Hospital & facility affiliations
- North Kansas City Hospital Home Health Services
- NKC Health
- Saint Lukes North Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040203000511 | MO | Practitioner - Family Practice | 3476446600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Family Medicine | Current | Accepting new patients |
| Meritas Health Corporation | Family Medicine | Current |
Accepting new patients |
| Meritas Health Corporation | Current |
Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients | |
| Meritas Health Corporation | Family Medicine | Past | Accepting new patients |
Locations
9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072
6450 N Chatham Ave
Kansas City, MO 64151
Phone (816) 740-5542
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
2600 Running Horse Rd
Platte City, MO 64079
Phone (816) 858-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2003017244 | MO | Yes |
Addresses
Primary practice location
6450 N Chatham Ave
Kansas City, MO 64151
Mailing address
9411 N Oak Trfy
Suite LL1
Kansas City, MO 64155-2262
Phone (816) 436-7072
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33205014 | Other | BCBS OF KC INDIVIDUAL # | |
| P00134132 | Other | RAILROAD MEDICARE |
Other names
- Antonete Consuelo Acosta
Other providers in Kansas City, MO
- Tara Ackerman
- Lindsey Ackerson
- Teri Lea Ackerson
- Acmedtrans LLC
- Kathryn Alaina Acord
- Edward L. Acosta
- Natasha R. Acosta
- Acquired Care LLC
- Acting Today
- Active Chiropractic
All providers in Kansas City, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.