| Darren Amundsen Boyack, | |
| 9100 W 74th St, Shawnee Mission, KS 66204-4004 | |
| (913) 676-2214 | |
| (913) 789-3106 | 
| Full Name | Darren Amundsen Boyack | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 9100 W 74th St, Shawnee Mission, Kansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750374724 | NPI | - | NPPES | 
| 200346760B | Medicaid | KS | |
| P00263567 | Other | RR MEDICARE GROUP CG8899 | |
| 01674018 | Other | BCBS KCMO GROUP 01674018 | |
| 207449406 | Medicaid | MO | |
| 200346760A | Medicaid | KS | |
| 35924016 | Other | BCBS OF KC MO | |
| 35924036 | Other | KS | BCBS KCMO GROUP 01674018 | 
| P00291773 | Other | RR MEDICARE GROUP DC6712 | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0431179 (Kansas) | Primary | 
| Entity Name | Er Physicians South, P.a. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194100057 PECOS PAC ID: 2860458544 Enrollment ID: O20051101000964 | 
| Entity Name | Em Specialists Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801112743 PECOS PAC ID: 1153452644 Enrollment ID: O20100628000352 | 
| Entity Name | Kansas Medical Professionals Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629778766 PECOS PAC ID: 6800261181 Enrollment ID: O20230419001909 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Darren Amundsen Boyack, 9100 W 74th St, Shawnee Mission, KS 66204-4004 Ph: (913) 676-2214 | Darren Amundsen Boyack, 9100 W 74th St, Shawnee Mission, KS 66204-4004 Ph: (913) 676-2214 | 
| Brett R Hailey,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
| Benjamin Thomas Sundling,  Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
| Sean E Fulton,  Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
| Dr. Annie Nyffeler, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
| Dr. John Evaristo Perez Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
| Dr. Kenneth A Newman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-789-5561 Fax: 913-789-1835 |