| Dr Thomas P Eyen, MD | |
|
4550 W 109th St Ste 310, Overland Park, KS 66211-1309 | |
| (913) 721-3387 | |
| (816) 875-2597 |
| Full Name | Dr Thomas P Eyen |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 4550 W 109th St Ste 310, Overland 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 |
|---|---|---|---|
| 1972567881 | NPI | - | NPPES |
| 208093815 | Medicaid | MO | |
| 2050876401 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 04-25910 (Kansas) | Primary |
| 207Y00000X | Otolaryngology | 109347 (Missouri) | Secondary |
| Entity Name | Ascentist Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649206319 PECOS PAC ID: 9335143759 Enrollment ID: O20060826000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas P Eyen, MD 5101 College Blvd, Leawood, KS 66211-1614 Ph: (816) 478-4200 | Dr Thomas P Eyen, MD 4550 W 109th St Ste 310, Overland Park, KS 66211-1309 Ph: (913) 721-3387 |
Dr. Kenneth Allan Buchwach, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 5701 W 119th St, Suite 320, Overland Park, KS 66209 Phone: 913-491-1400 | |
Mark Jeffrey Maslan, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5520 College Blvd, Suite 350, Overland Park, KS 66211 Phone: 913-663-5100 Fax: 913-663-3354 | |
Dr. Mark Stephen Walton, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5370 College Blvd, Suite 100, Overland Park, KS 66211 Phone: 913-599-4800 Fax: 913-599-2992 | |
Dr. Jay A Dunfield, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4550 W 109th St Ste 310, Overland Park, KS 66211 Phone: 913-721-3387 Fax: 816-875-2597 | |
Dr. Jeffrey Desmond Markey, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 14340 Metcalf Ave, Overland Park, KS 66223 Phone: 913-914-5975 | |
Joseph Andrew Ursick, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4550 W 109th St Ste 310, Overland Park, KS 66211 Phone: 913-721-3387 Fax: 816-875-2597 | |
Eugene Bortnick, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5520 College Blvd, Suite 350, Overland Park, KS 66211 Phone: 913-663-5100 Fax: 913-663-3354 |