| Breanna Nicole Headley, DO | |
|
20333 W 151st St, Olathe, KS 66061-5350 | |
| (913) 588-1227 | |
| Not Available |
| Full Name | Breanna Nicole Headley |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 10 Years |
| Location | 20333 W 151st St, Olathe, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841670965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2018041658 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 05-41712 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olathe Medical Center | Olathe, KS | Hospital |
| Research Medical Center | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Mo Llc | 1951766559 | 72 |
| Entity Name | Emergency Medicine Services Of Mo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023715182 PECOS PAC ID: 1951766559 Enrollment ID: O20230710001430 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Nicole Headley, DO 5501 Old York Rd, Philadelphia, PA 19141-3018 Ph: (215) 456-3834 | Breanna Nicole Headley, DO 20333 W 151st St, Olathe, KS 66061-5350 Ph: (913) 588-1227 |
Bharat Sutariya, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 20333 W 151st St, Olathe, KS 66061 Phone: 913-791-4357 Fax: 913-791-4435 | |
Jesmin P. Ehlers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20333 W 151st St, Olathe, KS 66061 Phone: 913-791-4357 Fax: 913-791-4435 | |
Chris C Davlantes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20333 W 151st St, Olathe, KS 66061 Phone: 913-791-4357 Fax: 913-791-4435 | |
Stephanee Evers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20333 W 151st St, Olathe, KS 66061 Phone: 913-791-4357 Fax: 913-791-4435 | |
Michael J Reilly, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 20333 W 151st St, Olathe, KS 66061 Phone: 913-791-4357 Fax: 913-791-4435 | |
Kevin J Mcdaniel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20333 W 151st St, Olathe, KS 66061 Phone: 913-791-4200 | |
Dr. Erin O Lawson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20333 W 151st St, Olathe, KS 66061 Phone: 913-588-1227 |