Andrea N Davis, MPT | |
1004 Progress Dr, Suite 100, Lansing, KS 66043-6326 | |
(913) 351-3838 | |
(913) 351-3939 |
Full Name | Andrea N Davis |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 21 Years |
Location | 1004 Progress Dr, Lansing, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689765588 | NPI | - | NPPES |
MA4370056 | Other | MO | MEDICARE PTAN |
1689765588 | Other | KS | BCBS KS |
KA2868024 | Other | KS | MEDICARE PTAN |
45792042 | Other | BCBS KC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2010017119 (Missouri) | Secondary |
225100000X | Physical Therapist | 11-04531 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Serc Rehabilitation Partners Llc | 9830344563 | 200 |
Serc Rehabilitation Partners Llc | 9830344563 | 200 |
Provider Name | Serc Rehabilitation Partners Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130304000500 |
Mailing Address | Practice Location Address |
---|---|
Andrea N Davis, MPT 17134 Bel Ray Pl, Belton, MO 64012-5331 Ph: (816) 226-4011 | Andrea N Davis, MPT 1004 Progress Dr, Suite 100, Lansing, KS 66043-6326 Ph: (913) 351-3838 |
Katherine Marie Martin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 712 1st Ter, Ste 103, Lansing, KS 66043 Phone: 913-727-2022 Fax: 913-727-2033 | |
Dustin Douglas, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 Progress Dr Ste 100, Lansing, KS 66043 Phone: 913-351-3586 | |
Mike A Mendiola, BS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1004 Progress Dr, Ste 100, Lansing, KS 66043 Phone: 913-351-3838 Fax: 913-351-3939 | |
Leif Erick Sanford, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 E Kansas St Ste C, Lansing, KS 66043 Phone: 913-758-0283 | |
Trisha M. Mcculloch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 712 1st Ter, Ste 103, Lansing, KS 66043 Phone: 913-727-2022 Fax: 913-727-2033 | |
Erin Katie Idacavage, PT, MPT, GCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1004 Progress Dr Ste 100, Lansing, KS 66043 Phone: 913-351-3838 Fax: 913-351-3939 | |
Linda A Stelter, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 N Plaza Dr, Lansing, KS 66043 Phone: 913-727-1284 |