| Statland Medical Group Llc | |
|
5701 W 119th St Suite 240 Overland Park KS 66209-3721 | |
| (913) 345-8500 | |
| (913) 647-3936 |
| Full Name | Statland Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5701 W 119th St, Overland Park, Kansas |
| Authorized Official Name and Position | Patrick J Kueny (VICE PRESIDENT) |
| Authorized Official Contact | 8165084090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Statland Medical Group Llc 5701 W 119th St Suite 240 Overland Park KS 66209-3721 Ph: (913) 345-8500 | Statland Medical Group Llc 5701 W 119th St Suite 240 Overland Park KS 66209-3721 Ph: (913) 345-8500 |
| NPI Number | 1902123573 |
|---|---|
| Provider Enumeration Date | 04/22/2010 |
| Last Update Date | 04/22/2010 |
| Medicare PECOS PAC ID | 0042335044 |
|---|---|
| Medicare Enrollment ID | O20100914001260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902123573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| Provider Name | Pandurang P Chillal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407968753 PECOS PAC ID: 2466499876 Enrollment ID: I20050415000794 |
| Provider Name | Royce E Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841243086 PECOS PAC ID: 7911933718 Enrollment ID: I20100324000331 |
| Provider Name | David A Wilt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508857509 PECOS PAC ID: 7719015833 Enrollment ID: I20100511001038 |
| Provider Name | John M Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154349322 PECOS PAC ID: 1153453980 Enrollment ID: I20100914001326 |
| Provider Name | Michael S Sokol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235163676 PECOS PAC ID: 3173648185 Enrollment ID: I20100914001354 |
| Provider Name | Christopher W Pelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184016529 PECOS PAC ID: 3375860976 Enrollment ID: I20150319000611 |
| Provider Name | Nidal M Boutros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629036173 PECOS PAC ID: 0941303945 Enrollment ID: I20170118000701 |
| Provider Name | Brianna R Bingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396305389 PECOS PAC ID: 3678809332 Enrollment ID: I20221114003171 |
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 |