Dean Huy Pham, | |
2401 Gillham Rd, Kansas City, MO 64108-4619 | |
(816) 234-3000 | |
(816) 302-9939 |
Full Name | Dean Huy Pham |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 2401 Gillham Rd, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265079586 | NPI | - | NPPES |
2023018543 | Other | MO | MISSOURI STATE BOARD OF REGISTRATIONS FOR THE HEALING ARTS |
75000090A | Other | IN | INDIANA PROFESSIONAL LICENSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 75000090A (Indiana) | Secondary |
367H00000X | Anesthesiologist Assistant | 2023018543 (Missouri) | Primary |
Entity Name | The Childrens Mercy Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20031118000182 |
Mailing Address | Practice Location Address |
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Dean Huy Pham, 2401 Gillham Rd, Provider Enrollment, Kansas City, MO 64108-4619 Ph: (816) 701-5200 | Dean Huy Pham, 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 234-3000 |
Laura Shelby Reynolds, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2000 | |
Emma Lynne Worley, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 | |
Joseph Henry Albright, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2000 | |
Tyler H Werth, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 | |
Margaret Cavener, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 | |
Sierra Marie Duncan-sonich, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2000 | |
Paige Marie Moore, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 E 104th St, Kansas City, MO 64131 Phone: 816-888-8888 |