Bryan L Black, MD | |
8080 E Central Ave, Ste 250, Wichita, KS 67206-2361 | |
(316) 686-7327 | |
(316) 686-1557 |
Full Name | Bryan L Black |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 8080 E Central Ave, Wichita, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790787380 | NPI | - | NPPES |
100113780 A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 04-21429 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kansas Pain Specialists Pa | 9335119957 | 4 |
Entity Name | Kansas Pain Specialists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285726323 PECOS PAC ID: 9335119957 Enrollment ID: O20040729001097 |
Entity Name | Kansas Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255380127 PECOS PAC ID: 2668476862 Enrollment ID: O20061109000659 |
Mailing Address | Practice Location Address |
---|---|
Bryan L Black, MD 8080 E Central Ave, Ste 250, Wichita, KS 67206-2361 Ph: (316) 686-7327 | Bryan L Black, MD 8080 E Central Ave, Ste 250, Wichita, KS 67206-2361 Ph: (316) 686-7327 |
James Phillips, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St Ste 3023, Wichita, KS 67214 Phone: 316-293-2665 | |
Valerie Audra Grau, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-268-5000 | |
Scott D Mclaren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 | |
John Dale Peterson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis St, Wichita, KS 67214 Phone: 800-374-5326 Fax: 800-374-7656 | |
Dylan Michael Brittain, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Jonathan Michael Snell, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Michael A Mueller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave, Ste 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-686-1557 |