| Daniel P Bortnick, MD | |
|
11550 Granada St, Leawood, KS 66211-1453 | |
| (913) 754-4939 | |
| (913) 663-2411 |
| Full Name | Daniel P Bortnick |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 38 Years |
| Location | 11550 Granada St, Leawood, 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 |
|---|---|---|---|
| 1326090259 | NPI | - | NPPES |
| P73000009 | Other | KS | MEDICARE KS |
| P73A00011 | Other | MO | MEDICARE MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 105608 (Missouri) | Secondary |
| 208200000X | Plastic Surgery | 0422406 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology And Skin Cancer Specialists Llc | 5294721486 | 42 |
| Entity Name | Dermatology And Skin Cancer Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205880846 PECOS PAC ID: 5294721486 Enrollment ID: O20050721001106 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel P Bortnick, MD 11550 Granada St, Leawood, KS 66211-1453 Ph: (913) 754-4939 | Daniel P Bortnick, MD 11550 Granada St, Leawood, KS 66211-1453 Ph: (913) 754-4939 |
Dr. J Douglas Cusick, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4601 College Blvd, Suite 222, Leawood, KS 66211 Phone: 913-661-0202 Fax: 913-661-0584 | |
Dr. John H Hulsen Iii, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11501 Granada St, Leawood, KS 66211 Phone: 913-451-3722 Fax: 913-451-5000 | |
Jacob Daniel Smith, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11501 Granada St, Leawood, KS 66211 Phone: 913-451-3722 Fax: 913-451-5000 | |
Jeffrey W Colyer, M. D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940b W. 137th St, Leawood, KS 66224 Phone: 913-232-9846 | |
Alexis Ruffolo Sampath, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 4801 W 135th St, Leawood, KS 66224 Phone: 913-663-3838 Fax: 913-663-4434 | |
Dr. Paul James Leahy, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 W 135th St, Leawood, KS 66224 Phone: 913-663-3838 Fax: 913-663-4434 |