Timothy Joseph Chilcote, | |
9100 W 74th St, Shawnee Mission, KS 66204-4004 | |
(913) 676-2218 | |
Not Available |
Full Name | Timothy Joseph Chilcote |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 9100 W 74th St, Shawnee Mission, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841224946 | NPI | - | NPPES |
200616970B | Medicaid | KS | |
P00738048 | Other | KS | RR MEDICARE GROUP CG8899 |
200616970A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 04-33693 (Kansas) | Primary |
Entity Name | Er Physicians South, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194100057 PECOS PAC ID: 2860458544 Enrollment ID: O20051101000964 |
Entity Name | Em Specialists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801112743 PECOS PAC ID: 1153452644 Enrollment ID: O20100628000352 |
Entity Name | Kansas Medical Professionals Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629778766 PECOS PAC ID: 6800261181 Enrollment ID: O20230419001909 |
Mailing Address | Practice Location Address |
---|---|
Timothy Joseph Chilcote, 8825 Norwood Dr, Leawood, KS 66206-1625 Ph: (312) 848-0916 | Timothy Joseph Chilcote, 9100 W 74th St, Shawnee Mission, KS 66204-4004 Ph: (913) 676-2218 |
Brett R Hailey, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
Benjamin Thomas Sundling, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
Otis E Miller Ii, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
Sean E Fulton, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
Dr. Kenneth A Newman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-789-5561 Fax: 913-789-1835 | |
Darren Amundsen Boyack, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 Fax: 913-789-3106 | |
Ryan C Reeves, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 |