| Doctor On Demand Professionals Of Kansas, P.a. | |
|
1 California St Ste 2300 San Francisco CA 94111-5424 | |
| (415) 504-3838 | |
| Not Available |
| Full Name | Doctor On Demand Professionals Of Kansas, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1 California St Ste 2300, San Francisco, California |
| Authorized Official Name and Position | Todd Andrew Thames (PRESIDENT) |
| Authorized Official Contact | 8009976196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor On Demand Professionals Of Kansas, P.a. 1 California St Ste 2300 San Francisco CA 94111-5424 Ph: () - | Doctor On Demand Professionals Of Kansas, P.a. 1 California St Ste 2300 San Francisco CA 94111-5424 Ph: (415) 504-3838 |
| NPI Number | 1881477339 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Medicare PECOS PAC ID | 8921444548 |
|---|---|
| Medicare Enrollment ID | O20240306000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881477339 | NPI | - | NPPES |
| Provider Name | Leigh J Marvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649368275 PECOS PAC ID: 5799751723 Enrollment ID: I20040909001065 |
| Provider Name | Melissa M Colbern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659370054 PECOS PAC ID: 3375586332 Enrollment ID: I20050609001090 |
| Provider Name | Jenna Michelle Koepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851848352 PECOS PAC ID: 8426346826 Enrollment ID: I20161018002625 |
| Provider Name | Jennifer Darling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366506636 PECOS PAC ID: 5395754493 Enrollment ID: I20200804001024 |
| Provider Name | Kaye Lynn Scott-roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821648353 PECOS PAC ID: 2567815871 Enrollment ID: I20240201004005 |
| Provider Name | Rachel Downing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194095901 PECOS PAC ID: 1355635327 Enrollment ID: I20240411001504 |
| Provider Name | Joanna D Block |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750713426 PECOS PAC ID: 0143669010 Enrollment ID: I20240411004844 |
| Provider Name | Mckay Knight Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275967796 PECOS PAC ID: 7012358476 Enrollment ID: I20240516000317 |
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