Midwest Medical Consultant Llc | |
7011 W 121st St Ste 106 Overland Park KS 66209-2029 | |
(913) 884-1055 | |
(913) 884-1066 |
Full Name | Midwest Medical Consultant Llc |
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Speciality | Pain Medicine |
Location | 7011 W 121st St, Overland Park, Kansas |
Authorized Official Name and Position | David D Edalati (PRESIDENT) |
Authorized Official Contact | 9138841055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Medical Consultant Llc 7011 W 121st St Ste 106 Overland Park KS 66209-2029 Ph: (913) 884-1055 | Midwest Medical Consultant Llc 7011 W 121st St Ste 106 Overland Park KS 66209-2029 Ph: (913) 884-1055 |
NPI Number | 1063829562 |
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Provider Enumeration Date | 07/16/2014 |
Last Update Date | 06/16/2016 |
Medicare PECOS PAC ID | 1153645031 |
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Medicare Enrollment ID | O20150126000040 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063829562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Primary |
Provider Name | David D Edalati |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477669141 PECOS PAC ID: 8527014976 Enrollment ID: I20101008000618 |
Provider Name | Susana Rodriguez-esler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831856954 PECOS PAC ID: 2567853591 Enrollment ID: I20211229001109 |
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 |