| Andrew Frazier, DO | |
|
4321 Washington St Ste 1200, Kansas City, MO 64111-5905 | |
| (816) 932-2932 | |
| (816) 932-5491 |
| Full Name | Andrew Frazier |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 9 Years |
| Location | 4321 Washington St Ste 1200, Kansas City, Missouri |
| 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 |
|---|---|---|---|
| 1902269566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 9408888 (Kansas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 2021013639 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Lukes North Hospital | Kansas city, MO | Hospital |
| Carroll County Memorial Hospital | Carrollton, MO | Hospital |
| Cameron Regional Medical Center | Cameron, MO | Hospital |
| St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carroll County Memorial Hospital | 2860485638 | 65 |
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Cameron Regional Medical Center Inc | 5092622001 | 65 |
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Entity Name | Cameron Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811905375 PECOS PAC ID: 5092622001 Enrollment ID: O20040113000619 |
| Entity Name | Carroll County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
| Entity Name | Kc Pain Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144211384 PECOS PAC ID: 9335137546 Enrollment ID: O20040505001080 |
| Entity Name | Ascentist Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649206319 PECOS PAC ID: 9335143759 Enrollment ID: O20060826000062 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210212002068 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Frazier, DO 901 E 104th St, Mailstop 400s, Kansas City, MO 64131 Ph: (816) 932-5678 | Andrew Frazier, DO 4321 Washington St Ste 1200, Kansas City, MO 64111-5905 Ph: (816) 932-2932 |
Muhammad Ishaq Farhan, M.D Pain Medicine Medicare: Medicare Enrolled Practice Location: 2101 Charlotte St, Kansas City, MO 64108 Phone: 816-404-7800 Fax: 816-404-6006 |