Paul J Brown, MD | |
7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 | |
(913) 588-8400 | |
(913) 588-8413 |
Full Name | Paul J Brown |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 7405 Renner Rd, Shawnee, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518901453 | NPI | - | NPPES |
481159444 | Other | JAYHAWK TAX ID | |
100145280C | Medicaid | KS | |
10001636100 | Other | CHP PROVIDER NUMBER | |
157695XX | Other | PREFERRED CARE OF NY | |
18760077 | Other | BCBS | |
1208015 | Other | AETNA | |
319807 | Other | FIRSTGUARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 04-21701 (Kansas) | Primary |
Entity Name | Jayhawk Primary Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528025053 PECOS PAC ID: 8123928900 Enrollment ID: O20050721001078 |
Mailing Address | Practice Location Address |
---|---|
Paul J Brown, MD 2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med, Ste. 312, Westwood, KS 66205-2005 Ph: (913) 588-9000 | Paul J Brown, MD 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 Ph: (913) 588-8400 |
Huda H. Alani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217 Phone: 913-588-8400 Fax: 913-588-8413 | |
Rozina A. Mohiuddin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217 Phone: 913-588-8400 Fax: 913-588-8413 | |
Robert Breeden, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-6300 |