Oak Street Health Physicians Group Of Kansas Llc | |
1200 N 7th St Kansas City KS 66101-2104 | |
(913) 951-8731 | |
(913) 426-9057 |
Full Name | Oak Street Health Physicians Group Of Kansas Llc |
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Speciality | Clinic/Center |
Location | 1200 N 7th St, Kansas City, Kansas |
Authorized Official Name and Position | Griffin Myers (CMO) |
Authorized Official Contact | 3072642085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oak Street Health Physicians Group Of Kansas Llc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (312) 733-9730 | Oak Street Health Physicians Group Of Kansas Llc 1200 N 7th St Kansas City KS 66101-2104 Ph: (913) 951-8731 |
NPI Number | 1336836949 |
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Provider Enumeration Date | 04/24/2023 |
Last Update Date | 06/30/2023 |
Certification Date | 06/30/2023 |
Medicare PECOS PAC ID | 8527412782 |
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Medicare Enrollment ID | O20230922000356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336836949 | NPI | - | NPPES |
Provider Name | Paige Dodson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154564045 PECOS PAC ID: 9133374796 Enrollment ID: I20140117000906 |
Provider Name | Bonnie Landgraf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255784518 PECOS PAC ID: 1052605318 Enrollment ID: I20160809001706 |
Provider Name | Rachel Fulton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861934341 PECOS PAC ID: 3870862196 Enrollment ID: I20170629002852 |
Provider Name | Kellie Hardy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154927606 PECOS PAC ID: 1557778669 Enrollment ID: I20220128000746 |
Provider Name | William Bernard Beachum Iii |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932827169 PECOS PAC ID: 0143606087 Enrollment ID: I20221010000505 |
Provider Name | Laura Lindsay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376175349 PECOS PAC ID: 2769842442 Enrollment ID: I20231011002595 |
Provider Name | Stephanie Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487103545 PECOS PAC ID: 0244528826 Enrollment ID: I20231011003220 |
Provider Name | Michele Mitchell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174505325 PECOS PAC ID: 9234215401 Enrollment ID: I20231020002224 |
Provider Name | Natalia Klusacek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497142285 PECOS PAC ID: 1759686660 Enrollment ID: I20231031001230 |
Provider Name | Barbara Tapps |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316158900 PECOS PAC ID: 3274694419 Enrollment ID: I20231031001314 |
Provider Name | Alissa Haight |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508342874 PECOS PAC ID: 5496185662 Enrollment ID: I20231130002379 |
Provider Name | Madylene Mcclure |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457842692 PECOS PAC ID: 4789932864 Enrollment ID: I20240425000151 |
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