| I-635 Primary Care Specialists | |
|
1420 S 42nd St Kansas City KS 66106-1952 | |
| (913) 831-1100 | |
| (913) 831-0827 |
| Full Name | I-635 Primary Care Specialists |
|---|---|
| Speciality | Family Medicine |
| Location | 1420 S 42nd St, Kansas City, Kansas |
| Authorized Official Name and Position | Bradley Alan Appl (OWNER) |
| Authorized Official Contact | 9138311100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I-635 Primary Care Specialists 1420 S 42nd St Kansas City KS 66106-1952 Ph: (913) 831-1100 | I-635 Primary Care Specialists 1420 S 42nd St Kansas City KS 66106-1952 Ph: (913) 831-1100 |
| NPI Number | 1689773772 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739134412 |
|---|---|
| Medicare Enrollment ID | O20050315000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689773772 | NPI | - | NPPES |
| 332282 | Other | HEALTHLINK | |
| 11783048 | Other | BCBSKC | |
| CI3275 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21690 (Kansas) | Primary |
| 207Q00000X | Family Medicine | R&E24 (Missouri) | Secondary |
| Provider Name | Bradley A Appl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770559494 PECOS PAC ID: 4284771122 Enrollment ID: I20100218000878 |
| Provider Name | Twyla Arielle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245718055 PECOS PAC ID: 4587915723 Enrollment ID: I20230622000305 |
Swope Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4835 State Ave, Kansas City, KS 66102 Phone: 913-321-2200 | |
Creative Health Care Management Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 N 113th Ter, Kansas City, KS 66109 Phone: 317-204-3736 Fax: 317-449-5783 | |
Ku Health Partners, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 3707, Kansas City, KS 66160 Phone: 913-588-5277 Fax: 913-588-1693 | |
Professional Services Of Ku Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4810 State Ave, Professional Services Of Ku Hospital, Kansas City, KS 66102 Phone: 913-321-4567 Fax: 913-321-6789 | |
Access Health & Injury Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9535 State Ave, Kansas City, KS 66111 Phone: 913-299-0911 Fax: 913-788-9679 | |
Centerwell Senior Primary Care- State Avenue Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7527 State Ave, Kansas City, KS 66112 Phone: 913-335-6986 Fax: 855-446-7151 | |
Alanna Lee Md An Operating Division Of Providence Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 Hutton Rd, Suite 102, Kansas City, KS 66109 Phone: 913-299-3700 Fax: 913-299-3050 |