| Jacquelyn Lea Allen, DO | |
|
22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | |
| (913) 592-2720 | |
| (913) 592-2725 |
| Full Name | Jacquelyn Lea Allen |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 22450 S Harrison St Ste 100, Spring Hill, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134308745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2010009594 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 05-38982 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| University Of Kansas Hospital | Kansas city, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shawnee Mission Medical Center Inc | 9537119037 | 208 |
| Entity Name | Shawnee Mission Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
| Entity Name | Shawnee Mission Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317854 PECOS PAC ID: 1153239298 Enrollment ID: O20170209000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Lea Allen, DO 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 Ph: (913) 592-2720 | Jacquelyn Lea Allen, DO 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 Ph: (913) 592-2720 |
Dr. Jerad E Widman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22450 S Harrison St, Ste. 100, Spring Hill, KS 66083 Phone: 913-592-2720 Fax: 913-592-2725 | |
Jennifer C Bulcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22450 S Harrison St Ste 100, Spring Hill, KS 66083 Phone: 913-592-2720 Fax: 913-592-2725 |