| Dr Shane Jeremy Hamacher, MD | |
|
3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | |
| (913) 945-7483 | |
| Not Available |
| Full Name | Dr Shane Jeremy Hamacher |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 3901 Rainbow Blvd # Ms 1060, Kansas City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619460144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD70018004 (Washington) | Secondary |
| 207Y00000X | Otolaryngology | 94-09516 (Kansas) | Primary |
| Entity Name | Ear Nose And Throat Specialists Alaska, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972552891 PECOS PAC ID: 6204848294 Enrollment ID: O20060609000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Jeremy Hamacher, MD 3831 Piper St Ste S433, Anchorage, AK 99508-6900 Ph: (079) 561-1421 | Dr Shane Jeremy Hamacher, MD 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 Ph: (913) 945-7483 |
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: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160 Phone: 913-588-6701 Fax: 913-588-6708 | |
Dr. Colleen Nicole Johnson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2300 Hutton Rd Ste 106107, Kansas City, KS 66109 Phone: 913-721-3387 Fax: 816-875-2598 | |
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 |