Sean E Fulton, | |
9100 W 74th St, Shawnee Mission, KS 66204-4004 | |
(913) 676-2214 | |
Not Available |
Full Name | Sean E Fulton |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 28 Years |
Location | 9100 W 74th St, Shawnee Mission, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639178668 | NPI | - | NPPES |
100395150A | Medicaid | KS | |
29256017 | Other | BLUE CROSS BLUE SHIELD | |
205437502 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD159272 (Missouri) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | MD159272 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
Adventhealth Ottawa | Ottawa, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Er Physicians South, P.a. | 2860458544 | 26 |
Entity Name | Er Physicians South, P.a. |
---|---|
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 |
---|---|
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 |
---|---|
Sean E Fulton, Po Box 2747, Shawnee Mission, KS 66201-2747 Ph: (800) 968-6866 | Sean E Fulton, 9100 W 74th St, Shawnee Mission, KS 66204-4004 Ph: (913) 676-2214 |
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 | |
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 |