| Dr John Andrew Bukaty, DO | |
|
4925 Juniper Dr, Roeland Park, KS 66205-1253 | |
| (913) 362-4825 | |
| Not Available |
| Full Name | Dr John Andrew Bukaty |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4925 Juniper Dr, Roeland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588634224 | NPI | - | NPPES |
| 200355030F | Medicaid | KS | |
| GROUP P530000 | Other | MO | RR MEDICARE |
| INDIVIDUAL P5300002 | Other | MO | RR MEDICARE |
| P00607207 | Other | MO | RAILROAD MEDICARE |
| 1588634224 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31267 (Kansas) | Primary |
| 207Q00000X | Family Medicine | 2004012747 (Missouri) | Secondary |
| Entity Name | General John J Pershing Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982612461 PECOS PAC ID: 2860306750 Enrollment ID: O20031117000114 |
| Entity Name | Macon County Samaritan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548215106 PECOS PAC ID: 1456261395 Enrollment ID: O20040121000179 |
| Entity Name | General John J Pershing Memorial Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417991159 PECOS PAC ID: 2860306750 Enrollment ID: O20071203000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Andrew Bukaty, DO 4925 Juniper Dr, Roeland Park, KS 66205-1253 Ph: (913) 362-4825 | Dr John Andrew Bukaty, DO 4925 Juniper Dr, Roeland Park, KS 66205-1253 Ph: (913) 362-4825 |
Dr. Erin Marie O'laughlin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5675 Roe Blvd, Suite 100, Roeland Park, KS 66205 Phone: 913-432-2080 | |
Dr. Rebecca Leigh Bruce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5675 Roe Blvd, Suite 100, Roeland Park, KS 66205 Phone: 913-432-2080 Fax: 913-432-5183 | |
Carolyn Coyle Hesson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5675 Roe Blvd Ste 100, Roeland Park, KS 66205 Phone: 913-432-2080 Fax: 913-432-5183 | |
Taylor Lacy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5675 Roe Blvd Ste 100, Roeland Park, KS 66205 Phone: 913-432-2080 |