| Dr Shawn Phillip Lillig, MD | |
|
135 Oak St, Bonner Springs, KS 66012-1026 | |
| (913) 298-0754 | |
| (913) 298-0758 |
| Full Name | Dr Shawn Phillip Lillig |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 135 Oak St, Bonner Springs, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891051751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-37779 (Kansas) | Primary |
| Entity Name | Prime Healthcare Physician Services - Providence Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356683213 PECOS PAC ID: 1052553906 Enrollment ID: O20130806000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shawn Phillip Lillig, MD 135 Oak St, Bonner Springs, KS 66012-1026 Ph: (913) 298-0754 | Dr Shawn Phillip Lillig, MD 135 Oak St, Bonner Springs, KS 66012-1026 Ph: (913) 298-0754 |
Dr. John Michael Satchell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15474 Bradfort Ct, Bonner Springs, KS 66012 Phone: 913-955-7019 | |
Dr. Ann Elizabeth Kurtz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 913 Sheidley Ave, Bonner Springs, KS 66012 Phone: 913-322-7222 Fax: 913-322-7284 | |
Mr. Stephen Patrick Thies, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 913 Sheidley Ave, Bonner Springs, KS 66012 Phone: 913-322-7222 Fax: 913-322-7284 |