| Dr Peter T Phan, DO | |
|
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
| (816) 271-6122 | |
| (816) 271-6019 |
| Full Name | Dr Peter T Phan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 5325 Faraon St, Saint Joseph, Missouri |
| 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 |
|---|---|---|---|
| 1316998941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2006022551 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | E-4675 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Mosaic Medical Center Albany | Albany, MO | Hospital |
| Centerpoint Medical Center | Independence, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Mo Llc | 1951766559 | 72 |
| Northwest Medical Center Association Inc | 5496641896 | 33 |
| Heartland Regional Medical Center | 6709772767 | 343 |
| Entity Name | Midwest Division - Lrhc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639362460 PECOS PAC ID: 0941119150 Enrollment ID: O20031105000738 |
| Entity Name | Northwest Medical Center Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124164322 PECOS PAC ID: 5496641896 Enrollment ID: O20040224000204 |
| Entity Name | Ray County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245220052 PECOS PAC ID: 4688560634 Enrollment ID: O20040225001164 |
| Entity Name | Heartland Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
| Entity Name | Saint Luke's Hospital Of Trenton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841274057 PECOS PAC ID: 3971495532 Enrollment ID: O20040327000339 |
| Entity Name | Saint Lukes Hospital Of Chillicothe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245433127 PECOS PAC ID: 0143130393 Enrollment ID: O20041014000548 |
| Entity Name | Mosaic Medical Center - Maryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
| Entity Name | Blue Springs Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841897261 PECOS PAC ID: 0749692861 Enrollment ID: O20201215000999 |
| Entity Name | Emergency Medicine Services Of Mo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023715182 PECOS PAC ID: 1951766559 Enrollment ID: O20230710001430 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter T Phan, DO 12814 Ne 115th Ter, Kearney, MO 64060-9121 Ph: (816) 419-0146 | Dr Peter T Phan, DO 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6122 |
Daniel Shashy Masin, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6122 | |
Dr. Crystal Renae Macaluso, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6445 | |
Zach Robert Boal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000 | |
Dr. Lilane J Reifenberg, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-561-1025 | |
Mr. Scott Alan Franksen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2303 Village Dr, Saint Joseph, MO 64506 Phone: 816-232-6818 Fax: 816-232-6823 | |
Michelle Ann Spieker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6122 Fax: 816-271-6019 | |
Dr. Evan Richard Slanczka, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6122 Fax: 816-271-6019 |