| Kc Diabetes & Endocrinology Pa | |
|
11661 College Blvd Ste 100 Overland Park KS 66210-4107 | |
| (913) 954-8500 | |
| (913) 432-8402 |
| Full Name | Kc Diabetes & Endocrinology Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 11661 College Blvd Ste 100, Overland Park, Kansas |
| Authorized Official Name and Position | Mustafa Hussein (PRACTICE MANAGER) |
| Authorized Official Contact | 9139548500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Diabetes & Endocrinology Pa 11661 College Blvd Ste 100 Overland Park KS 66210-4107 Ph: (913) 954-8500 | Kc Diabetes & Endocrinology Pa 11661 College Blvd Ste 100 Overland Park KS 66210-4107 Ph: (913) 954-8500 |
| NPI Number | 1457907370 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 08/15/2019 |
| Medicare PECOS PAC ID | 4789915133 |
|---|---|
| Medicare Enrollment ID | O20191016000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457907370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Carol Ann Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568434173 PECOS PAC ID: 0547239550 Enrollment ID: I20041209000443 |
| Provider Name | M Yaser Mounla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154399921 PECOS PAC ID: 8022015809 Enrollment ID: I20090901000425 |
Midwest Hospital Specialists, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10901 Granada Ln, Ste. 200, Overland Park, KS 66211 Phone: 913-660-1616 Fax: 913-660-1664 | |
Francisco M. Garcia, M D Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10640 W 87th St, Overland Park, KS 66214 Phone: 913-888-0780 Fax: 913-888-3402 | |
Millie Medical Of Kansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12022 Blue Valley Pkwy Ste 523, Overland Park, KS 66213 Phone: 561-476-0060 | |
Saint Lukes Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 W 95th St, Overland Park, KS 66212 Phone: 913-323-8880 | |
Optum Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211 Phone: 800-645-9656 | |
Optum Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6860 W 115th St, Overland Park, KS 66211 Phone: 913-253-0601 | |
Spira Innovations, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Spira Care Overland Park 7341 W. 133rd St, Overland Park, KS 66213 Phone: 191-329-7747 |