Jonathan Ericson, | |
3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160-8500 | |
(913) 588-1908 | |
(913) 588-8387 |
Full Name | Jonathan Ericson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3901 Rainbow Blvd # Ms 4034, 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 |
---|---|---|---|
1356979686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036169823 (Illinois) | Primary |
Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Ericson, 1950 Harlem Ave, North Riverside, IL 60546-1470 Ph: (708) 354-9250 | Jonathan Ericson, 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160-8500 Ph: (913) 588-1908 |
Faith Madeline Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd # Ms 4010, Kansas City, KS 66160 Phone: 913-588-1908 | |
William S Greiner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2040 Hutton Rd, Suite 102, Kansas City, KS 66109 Phone: 913-299-3700 Fax: 913-299-3050 | |
Bailee Wilson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160 Phone: 913-588-1908 | |
Douglas B Knox, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 | |
Margaret A Killam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8101 Parallel Pkwy, Ste 100, Kansas City, KS 66112 Phone: 913-299-9200 Fax: 913-299-9210 | |
Dr. Alex Olivia Katubig, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-945-6810 | |
Dr. John Degraffenreid, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160 Phone: 913-588-1908 Fax: 913-588-8387 |