Diana Jazmin Betancourt, | |
4100 S 4th St, Leavenworth, KS 66048-5082 | |
(913) 758-6188 | |
Not Available |
Full Name | Diana Jazmin Betancourt |
---|---|
Gender | Female |
Speciality | Emergency Medicine - Sports Medicine |
Location | 4100 S 4th St, Leavenworth, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669188165 | NPI | - | NPPES |
000000000000000000 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PS0010X | Emergency Medicine - Sports Medicine | 000000000000 (Kansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Diana Jazmin Betancourt, 4100 S 4th St, Leavenworth, KS 66048-5082 Ph: (913) 758-6188 | Diana Jazmin Betancourt, 4100 S 4th St, Leavenworth, KS 66048-5082 Ph: (913) 758-6188 |
Lillian Lockwood, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3500 S 4th St, Leavenworth, KS 66048 Phone: 913-680-6100 Fax: 913-680-6156 | |
Thomas Richard Mclean, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 | |
Dr. George E Speer, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 Marshall St, Leavenworth, KS 66048 Phone: 816-561-1025 | |
Ingrid Keleti, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3500 S 4th St, Leavenworth, KS 66048 Phone: 913-680-6100 Fax: 913-680-6156 | |
Joseph F Mcdonnell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 | |
Zachary Ryan Staples, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 S 4th St, Leavenworth, KS 66048 Phone: 913-758-6188 |