Alicia Katherine Peterson, MD | |
4000 Cambridge St., Dept. Of Emergency Medicine, Kansas City, KS 66160 | |
(913) 588-6500 | |
Not Available |
Full Name | Alicia Katherine Peterson |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 4000 Cambridge St., Kansas City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407011331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | AN52403945953 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 04-37132 (Kansas) | Primary |
Entity Name | Kansas University Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
Entity Name | University Of Kansas Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528019502 PECOS PAC ID: 9436054798 Enrollment ID: O20050908001103 |
Mailing Address | Practice Location Address |
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Alicia Katherine Peterson, MD 4000 Cambridge St., Dept. Of Emergency Medicine, Kansas City, KS 66160 Ph: (312) 926-2000 | Alicia Katherine Peterson, MD 4000 Cambridge St., Dept. Of Emergency Medicine, Kansas City, KS 66160 Ph: (913) 588-6500 |
Thomas Deskin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Olathe Blvd Level 1, Suite D, Kansas City, KS 66160 Phone: 135-882-2009 Fax: 913-588-8423 | |
Stephanie Thom, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Department Of Emergency Medicine, 4000 Cambridge Street Ms 1019, Kansas City, KS 66160 Phone: 913-588-5000 | |
Lawson Montgomery, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 Phone: 913-945-7483 | |
Austin Mayes Petz, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1559 | |
Mary L. Thiessen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-6500 | |
Adam Skinner, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 | |
Bradley Eugene Barth, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4000 Cambridge Street, Dept. Of Emergency Medicine, Mailstop 1019, Kansas City, KS 66160 Phone: 913-588-6504 Fax: 913-588-9104 |