| Nancy Israel, Md | |
|
15144 Pawnee Cir Leawood KS 66224-3832 | |
| (913) 681-5871 | |
| (913) 897-2166 |
| Full Name | Nancy Israel, Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15144 Pawnee Cir, Leawood, Kansas |
| Authorized Official Name and Position | Nancy B Israel (PRESIDENT) |
| Authorized Official Contact | 9136815871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Israel, Md Po Box 23563 Shawnee Mission KS 66283-0563 Ph: (913) 248-9693 | Nancy Israel, Md 15144 Pawnee Cir Leawood KS 66224-3832 Ph: (913) 681-5871 |
| NPI Number | 1477522399 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 06/12/2008 |
| Medicare PECOS PAC ID | 3577502962 |
|---|---|
| Medicare Enrollment ID | O20050426000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477522399 | NPI | - | NPPES |
| 100360780B | Medicaid | KS | |
| 35522014 | Other | MO | BLUE SHIELD KANSAS CITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 105698 (Missouri) | Primary |
| Provider Name | Nancy B Israel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750350674 PECOS PAC ID: 4284673682 Enrollment ID: I20050427000655 |
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