Dr Johnathan Andrew Drevik, MD | |
4000 Cambridge St, Kansas City, KS 66160-3018 | |
(913) 588-1227 | |
Not Available |
Full Name | Dr Johnathan Andrew Drevik |
---|---|
Gender | Male |
Speciality | Urology |
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 |
---|---|---|---|
1487179115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2023014179 (Missouri) | Secondary |
208800000X | Urology | 0447835 (Kansas) | Primary |
Entity Name | Olathe Health Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598784639 PECOS PAC ID: 7618881905 Enrollment ID: O20031119000719 |
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 |
Mailing Address | Practice Location Address |
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Dr Johnathan Andrew Drevik, MD 4000 Cambridge St, Kansas City, KS 66160-3018 Ph: (913) 588-1227 | Dr Johnathan Andrew Drevik, MD 4000 Cambridge St, Kansas City, KS 66160-3018 Ph: (913) 588-1227 |
John A Taylor Iii, MD, MS Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-7564 Fax: 913-588-7625 | |
Dr. Eugene Kang Lee, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Ms 3016, Kansas City, KS 66160 Phone: 913-588-7564 Fax: 913-588-6668 | |
Darcy Sullivan, PA-C Urology Medicare: Medicare Enrolled Practice Location: 4000 Cambridge St # Ms 3016, Kansas City, KS 66160 Phone: 913-588-6146 | |
Dr. Atiyeh Samadi, Urology Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd # Ms 3016, Kansas City, KS 66160 Phone: 913-588-3173 | |
Colby Perkins Souders, Urology Medicare: Medicare Enrolled Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-558-0047 | |
Casey Kowalik, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-0799 | |
Dr. Hadley Wyre, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Ms 3016, Kansas City, KS 66160 Phone: 913-588-6152 Fax: 913-588-0603 |