Evernorth Care Providers - Kansas Pa | |
9393 W 110th St Ste 500 Overland Park KS 66210-1464 | |
(773) 292-4800 | |
(312) 564-4059 |
Full Name | Evernorth Care Providers - Kansas Pa |
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Speciality | General Practice |
Location | 9393 W 110th St Ste 500, Overland Park, Kansas |
Authorized Official Name and Position | Grace Blue (CREDENTIALING SR. MANAGER) |
Authorized Official Contact | 7732924800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evernorth Care Providers - Kansas Pa 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Kansas Pa 9393 W 110th St Ste 500 Overland Park KS 66210-1464 Ph: (773) 292-4800 |
NPI Number | 1386041234 |
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Provider Enumeration Date | 11/20/2014 |
Last Update Date | 02/13/2024 |
Medicare PECOS PAC ID | 4880901057 |
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Medicare Enrollment ID | O20150921001928 |
Identifier | Type | State | Issuer |
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1386041234 | NPI | - | NPPES |
Provider Name | Janis M Steinbrecher |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1083605083 PECOS PAC ID: 3678465861 Enrollment ID: I20120424000685 |
Provider Name | Uchenna A Echendu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891974135 PECOS PAC ID: 3577894534 Enrollment ID: I20191007001657 |
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