Jacob Daniel Smith, MD | |
11501 Granada St, Leawood, KS 66211-1454 | |
(913) 451-3722 | |
(913) 451-5000 |
Full Name | Jacob Daniel Smith |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 11501 Granada St, Leawood, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306378195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 04-47899 (Kansas) | Primary |
Entity Name | Associated Plastic Surgeons, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366441966 PECOS PAC ID: 4486642006 Enrollment ID: O20040503001586 |
Entity Name | Eye Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881884211 PECOS PAC ID: 4385544600 Enrollment ID: O20100827000415 |
Mailing Address | Practice Location Address |
---|---|
Jacob Daniel Smith, MD 11501 Granada Lane, Leawood, KS 66211-1454 Ph: (913) 451-3722 | Jacob Daniel Smith, MD 11501 Granada St, Leawood, KS 66211-1454 Ph: (913) 451-3722 |
Dr. J Douglas Cusick, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4601 College Blvd, Suite 222, Leawood, KS 66211 Phone: 913-661-0202 Fax: 913-661-0584 | |
Dr. John H Hulsen Iii, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11501 Granada St, Leawood, KS 66211 Phone: 913-451-3722 Fax: 913-451-5000 | |
Daniel P Bortnick, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada St, Leawood, KS 66211 Phone: 913-754-4939 Fax: 913-663-2411 | |
Jeffrey W Colyer, M. D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940b W. 137th St, Leawood, KS 66224 Phone: 913-232-9846 | |
Dr. Paul James Leahy, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 W 135th St, Leawood, KS 66224 Phone: 913-663-3838 Fax: 913-663-4434 |