| Dr Cory Tyson Carpenter, DO | |
|
10787 Nall Ave Ste 310, Overland Park, KS 66211-1301 | |
| (913) 945-6900 | |
| (913) 946-6970 |
| Full Name | Dr Cory Tyson Carpenter |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 10787 Nall Ave Ste 310, Overland Park, 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 |
|---|---|---|---|
| 1679833800 | NPI | - | NPPES |
| 1679833800 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2015014048 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 05-47099 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Lukes Home Care | Kansas city, MO | Home health agency |
| University Of Kansas Hospital | Kansas city, KS | Hospital |
| St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
| Saint Luke's South Hospital | Overland park, KS | Hospital |
| Saint Luke's East Hospital | Lees summit, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jayhawk Primary Care Inc | 8123928900 | 148 |
| Entity Name | Jayhawk Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528025053 PECOS PAC ID: 8123928900 Enrollment ID: O20050721001078 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cory Tyson Carpenter, DO 10787 Nall Ave Ste 310, Overland Park, KS 66211-1301 Ph: (913) 945-6900 | Dr Cory Tyson Carpenter, DO 10787 Nall Ave Ste 310, Overland Park, KS 66211-1301 Ph: (913) 945-6900 |
Dr. Matthew P Harrison, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10116 W 105th St, Overland Park, KS 66212 Phone: 913-541-0510 Fax: 913-541-1852 | |
Soumojit Ghosh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10116 W 105th St, Overland Park, KS 66212 Phone: 913-541-0510 Fax: 913-541-1852 | |
Louay K. Sabih, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10550 Marty St Ste 201, Overland Park, KS 66212 Phone: 913-341-4000 Fax: 913-383-2868 | |
Dr. Lisa G. Distefano, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12541 Foster St Ste 300, Overland Park, KS 66213 Phone: 913-317-3200 Fax: 913-317-3218 | |
Dr. Paul G Diederich, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10787 Nall Ave, Ste. 310, Overland Park, KS 66211 Phone: 913-945-6900 Fax: 913-945-6970 | |
Mini R Abraham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10000 College Blvd, Overland Park, KS 66210 Phone: 913-258-5055 Fax: 913-258-5057 | |
Jeena Viji Eapen, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 10540 Marty St Ste 100, Overland Park, KS 66212 Phone: 913-660-1616 Fax: 913-660-0998 |