| Casey Patrick Hertzenberg, MD | |
|
9119 W 74th St Ste 350, Shawnee Mission, KS 66204-2268 | |
| (913) 632-9418 | |
| (913) 632-9447 |
| Full Name | Casey Patrick Hertzenberg |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 17 Years |
| Location | 9119 W 74th St Ste 350, Shawnee Mission, 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 |
|---|---|---|---|
| 1407016439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 94-07038 (Kansas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 04-36350 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shawnee Mission Medical Center Inc | 9537119037 | 208 |
| Entity Name | Olathe Health Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784639 PECOS PAC ID: 7618881905 Enrollment ID: O20031119000719 |
| Entity Name | Kansas University Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
| Entity Name | Shawnee Mission Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Patrick Hertzenberg, MD 9119 W 74th St Ste 350, Shawnee Mission, KS 66204-2268 Ph: (913) 632-9418 | Casey Patrick Hertzenberg, MD 9119 W 74th St Ste 350, Shawnee Mission, KS 66204-2268 Ph: (913) 632-9418 |
Clarke Latta Henry Jr., M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 8901 W 74th St, Suite 1, Shawnee Mission, KS 66204 Phone: 913-341-0120 Fax: 913-344-6071 |