| Heartland Psychiatric Medicine, Llc | |
|
8340 Mission Rd Suite 210 Prairie Village KS 66206-1355 | |
| (913) 642-0100 | |
| (913) 642-0176 |
| Full Name | Heartland Psychiatric Medicine, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8340 Mission Rd, Prairie Village, Kansas |
| Authorized Official Name and Position | Sergio M Zaderenko (PSYCHIATRIST) |
| Authorized Official Contact | 9136420100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Psychiatric Medicine, Llc 8340 Mission Rd Suite 210 Prairie Village KS 66206-1355 Ph: (913) 642-0100 | Heartland Psychiatric Medicine, Llc 8340 Mission Rd Suite 210 Prairie Village KS 66206-1355 Ph: (913) 642-0100 |
| NPI Number | 1588856363 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Medicare PECOS PAC ID | 7911090097 |
|---|---|
| Medicare Enrollment ID | O20070905000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588856363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0423954 (Kansas) | Primary |
| Provider Name | Sergio M Zaderenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548344989 PECOS PAC ID: 7012915721 Enrollment ID: I20070814000348 |
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