| Adam P Misasi, MD | |
|
3550 S 4th St Ste 115, Leavenworth, KS 66048-5061 | |
| (913) 334-6800 | |
| (913) 334-0875 |
| Full Name | Adam P Misasi |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 3550 S 4th St Ste 115, Leavenworth, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063707438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 7644 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Medical Center | Kansas city, KS | Hospital |
| St Joseph Medical Center | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare Physician Services - Providence Inc | 1052553906 | 51 |
| Prime Healthcare Kansas City - Physician Services Llc | 7315267325 | 72 |
| Entity Name | Prime Healthcare Physician Services - Providence Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356683213 PECOS PAC ID: 1052553906 Enrollment ID: O20130806000598 |
| Entity Name | Adventhealth Ransom Memorial Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407319957 PECOS PAC ID: 4486996907 Enrollment ID: O20190510001418 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam P Misasi, MD 4801 College Blvd, Leawood, KS 66211-1628 Ph: (816) 478-4200 | Adam P Misasi, MD 3550 S 4th St Ste 115, Leavenworth, KS 66048-5061 Ph: (913) 334-6800 |
Dr. Madeline Lee Rasmussen, MD Surgery Medicare: Medicare Enrolled Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 | |
Dr. Chris Carleton Haller, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Vamc Routing 112, Leavenworth, KS 66048 Phone: 913-682-2000 |