Vanpraseuth Fongnaly, MD | |
4401 Wornall Rd, Kansas City, MO 64111 | |
(816) 932-3679 | |
(816) 932-9089 |
Full Name | Vanpraseuth Fongnaly |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 19 Years |
Location | 4401 Wornall Rd, Kansas City, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265574461 | NPI | - | NPPES |
100257947 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2014025191 (Missouri) | Secondary |
207L00000X | Anesthesiology | D0068983 (Maryland) | Secondary |
207L00000X | Anesthesiology | 3724 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Vanpraseuth Fongnaly, MD 901 E 104th St, Mailstop 400s, Kansas City, MO 64131 Ph: (816) 502-8782 | Vanpraseuth Fongnaly, MD 4401 Wornall Rd, Kansas City, MO 64111 Ph: (816) 932-3679 |
Dr. Jeffrey W Brennan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 913-428-2900 Fax: 913-428-2951 | |
Rachel Erin Jacobs, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 913-940-2030 | |
Timothy A Hull, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Carondelet Dr, Kansas City, MO 64114 Phone: 816-943-2252 Fax: 816-943-4656 | |
Dr. Michael Thompson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5830 Nw Barry Rd, Kansas City, MO 64154 Phone: 816-880-6440 Fax: 816-880-6740 | |
Dr. Linda Dill, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-3495 | |
Jonathan David Jerman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 Fax: 816-302-9939 | |
Daren C Wilson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-3679 Fax: 816-932-9089 |