Lisa Waxman, MD | |
8919 Parallel Pkwy Ste 380, Kansas City, KS 66112-1545 | |
(913) 788-7099 | |
(913) 788-7065 |
Full Name | Lisa Waxman |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 8919 Parallel Pkwy Ste 380, 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 |
---|---|---|---|
1679586366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 0422304 (Kansas) | Primary |
Entity Name | Kansas Medical Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508877523 PECOS PAC ID: 4981592334 Enrollment ID: O20040308000496 |
Mailing Address | Practice Location Address |
---|---|
Lisa Waxman, MD 2200 Sw 6th Ave, Suite 104, Topeka, KS 66606-1707 Ph: (785) 354-8518 | Lisa Waxman, MD 8919 Parallel Pkwy Ste 380, Kansas City, KS 66112-1545 Ph: (913) 788-7099 |
Dr. Johanna Suzanne Peterson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd. 6040 Delp, Ms1020, Division Of General And Geriatric Medicine, University, Kansas City, KS 66160 Phone: 913-588-6005 Fax: 913-588-3877 | |
Thelda M Kestenbaum, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Dept Of Internal Medicine, Kansas City, KS 66160 Phone: 913-588-6000 | |
Urmi Khanna, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2000 Olathe, Kansas City, KS 66160 Phone: 913-588-3840 | |
Trenton Thomas Greif, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-3840 | |
Kevin Varghese, Dermatology Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 2050, Kansas City, KS 66160 Phone: 913-588-6028 | |
Dr. Sarah Pourakbar, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-1227 | |
William George Liakos Iii, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 2025, Kansas City, KS 66160 Phone: 913-588-1227 |