| Alec Friesen, MD | |
|
19600 E 39th St S, Independence, MO 64057-2301 | |
| (816) 698-7170 | |
| (816) 698-7190 |
| Full Name | Alec Friesen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 19600 E 39th St S, Independence, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598345209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | W6234 (Texas) | Primary |
| 207P00000X | Emergency Medicine | 2024014095 (Missouri) | Secondary |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467053173 PECOS PAC ID: 5698786226 Enrollment ID: O20210226001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Alec Friesen, MD 7128 Cedar St, Prairie Village, KS 66208-2341 Ph: (913) 742-3974 | Alec Friesen, MD 19600 E 39th St S, Independence, MO 64057-2301 Ph: (816) 698-7170 |
Thomas R Coughlin Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1509 W Truman Rd, Emergency Department, Independence, MO 64050 Phone: 913-469-4244 Fax: 913-469-1939 |
David R. Gustafson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3507 Shady Bend Dr, Independence, MO 64052 Phone: 816-651-8631 |
Brian West, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11605 E 23rd St S, Independence, MO 64050 Phone: 816-579-6891 Fax: 816-579-6892 |
Konner Cue, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 816-698-7000 |
Aulton Dale Chisum, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1509 W Truman Rd, Emergency Department, Independence, MO 64050 Phone: 913-469-1488 Fax: 913-469-1441 |
Harry E Kleiner, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1509 W Truman Rd, Emergency Department, Independence, MO 64050 Phone: 913-469-4244 Fax: 913-469-1939 |
Aryn Elizabeth Dixon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 816-698-7000 |