| Frontier Healthcare Llc | |
|
12140 Nall Ave Ste 125 Overland Park KS 66209-2503 | |
| (913) 498-1551 | |
| Not Available |
| Full Name | Frontier Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12140 Nall Ave Ste 125, Overland Park, Kansas |
| Authorized Official Name and Position | Marie Delcambre (OWNER) |
| Authorized Official Contact | 9134981551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Healthcare Llc 12140 Nall Ave Ste 125 Overland Park KS 66209-2503 Ph: (913) 498-1551 | Frontier Healthcare Llc 12140 Nall Ave Ste 125 Overland Park KS 66209-2503 Ph: (913) 498-1551 |
| NPI Number | 1245741446 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 11/28/2017 |
| Medicare PECOS PAC ID | 6305103383 |
|---|---|
| Medicare Enrollment ID | O20171129001922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245741446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 04-20883 (Kansas) | Primary |
| Provider Name | Marie A Delcambre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245221159 PECOS PAC ID: 3870566185 Enrollment ID: I20051028000044 |
| Provider Name | Andriana A Arvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710978705 PECOS PAC ID: 9032247150 Enrollment ID: I20100511000997 |
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