| Dr Colleen Nicole Johnson, MD | |
|
2300 Hutton Rd Ste 106107, Kansas City, KS 66109-4436 | |
| (913) 721-3387 | |
| (816) 875-2598 |
| Full Name | Dr Colleen Nicole Johnson |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 21 Years |
| Location | 2300 Hutton Rd Ste 106107, Kansas City, 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 |
|---|---|---|---|
| 1033301510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 432581 (Kansas) | Primary |
| 207Y00000X | Otolaryngology | 2014028851 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| Doctors Hospital Llc | Leawood, KS | Hospital |
| Providence Medical Center | Kansas city, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascentist Physicians Group Llc | 9335143759 | 110 |
| 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: O20060829000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Colleen Nicole Johnson, MD 5101 College Blvd, Leawood, KS 66211-1614 Ph: (816) 478-4200 | Dr Colleen Nicole Johnson, MD 2300 Hutton Rd Ste 106107, Kansas City, KS 66109-4436 Ph: (913) 721-3387 |
Rahul Alapati, Otolaryngology Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 3010, Kansas City, KS 66160 Phone: 913-588-6739 | |
Dr. Terance T Tsue, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160 Phone: 913-588-6701 Fax: 913-588-6708 | |
Frantzlee Lacrete, MD/MPH Otolaryngology Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-6739 | |
Christopher Jordan Boyd, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-6739 | |
Jennifer Villwock, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Mail Stop 3010, Kansas City, KS 66160 Phone: 913-588-8328 | |
Nickolas Alsup, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd # Ms 3010, Kansas City, KS 66160 Phone: 913-588-6739 |