MEDICARE: DR. JEFFREY ALLEN SCOTT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	36345	MO

General Provider Information

NPI Number	:	1386645471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY ALLEN SCOTT MD

Provider Business Mailing Address
First Line	:	820 QUIK TRIP WAY
Second Line	:
City	:	BELTON
State	:	MO
Zip	:	64012-4658
Country	:	US
Telephone Number	:	816-425-3703
Fax Number	:	888-498-3417

Provider Business Practice Location Address
First Line	:	820 QUIK TRIP WAY
Second Line	:
City	:	BELTON
State	:	MO
Zip	:	64012-4658
Country	:	US
Telephone Number	:	816-425-3703
Fax Number	:	888-498-3417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	09/18/2025

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