Peter A Bock, MD | |
11164 S Noble Dr, Olathe, KS 66061-7572 | |
(913) 829-2440 | |
(913) 338-1311 |
Full Name | Peter A Bock |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 11164 S Noble Dr, Olathe, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629050166 | NPI | - | NPPES |
100153680D | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04-21026 (Kansas) | Primary |
Entity Name | Jayhawk Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205889169 PECOS PAC ID: 3678461142 Enrollment ID: O20040306000191 |
Mailing Address | Practice Location Address |
---|---|
Peter A Bock, MD Po Box 741331, Atlanta, GA 30374-1331 Ph: (913) 469-0503 | Peter A Bock, MD 11164 S Noble Dr, Olathe, KS 66061-7572 Ph: (913) 829-2440 |
Cheryl Rae Judkins, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1391 E 120th St, Olathe, KS 66061 Phone: 816-288-3083 | |
Dr. Christopher D Wright, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1803 S Ridgeview Rd, Olathe, KS 66062 Phone: 913-829-0505 Fax: 913-338-1311 | |
John M Feehan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18695 W 151st St, Olathe, KS 66062 Phone: 913-782-3322 Fax: 913-782-1264 | |
James R Phillips, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18695 W 151st St, Olathe, KS 66062 Phone: 913-782-3322 Fax: 913-782-1264 | |
Darrin Alexander Davis, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 15710 W 135th St Ste 200, Olathe, KS 66062 Phone: 913-297-7472 Fax: 844-413-7208 | |
Ektaben Sanket Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2090 W Dartmouth St, Olathe,, Olathe, KS 66061 Phone: 913-355-8300 | |
David Ben Karty, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18695 W 151st St, Olathe, KS 66062 Phone: 913-782-0260 Fax: 913-782-4541 |