| Beau Ashton Butherus, | |
|
9100 W 74th St, Merriam, KS 66204-4004 | |
| (913) 676-2000 | |
| Not Available |
| Full Name | Beau Ashton Butherus |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 9100 W 74th St, Merriam, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467751032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2013037468 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 04-37761 (Kansas) | Primary |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Beau Ashton Butherus, 9100 W 74th St, Overland Park, KS 66204-4004 Ph: (913) 676-2214 | Beau Ashton Butherus, 9100 W 74th St, Merriam, KS 66204-4004 Ph: (913) 676-2000 |
Rebecca N Messerli, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2214 | |
Geoffrey Digiacinto, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2000 | |
Grady Earl Thiems, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2214 | |
Dr. David Meyer Finkle, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2214 | |
Behnam Raisdana, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2214 | |
Seth Adam Atchison, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2000 |