| Ms Amornluck Krasaelap, MD | |
| 5808 W 110th St, Overland Park, KS 66211-2504 | |
| (913) 696-8000 | |
| (816) 302-9939 | 
| Full Name | Ms Amornluck Krasaelap | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Gastroenterology | 
| Location | 5808 W 110th St, 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 | 
|---|---|---|---|
| 1376954461 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 04-43262 (Kansas) | Primary | 
| Entity Name | The Association Of Chrmc And University Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Amornluck Krasaelap, MD 2401 Gillham Rd, Attn: Provider Enrollment Dept, Kansas City, MO 64108-4619 Ph: (816) 701-5200 | Ms Amornluck Krasaelap, MD 5808 W 110th St, Overland Park, KS 66211-2504 Ph: (913) 696-8000 | 
| Dr. Fred Fletcher Roberts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5610 W 131st Ter, Overland Park, KS 66209 Phone: 913-402-9813 | |
| Patricia C Bell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5808 W 110th St, Overland Park, KS 66211 Phone: 913-696-8000 Fax: 816-302-9939 | |
| Jennifer P Bernard, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12541 Foster St, Suite 300, Overland Park, KS 66213 Phone: 913-317-3200 Fax: 913-317-3218 | |
| Dr. Robert Vincent Jackson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8901 W 74th St, Suite 10, Overland Park, KS 66204 Phone: 913-362-1660 | |
| Dr. Kathryn Ann Hartman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8901 W 74th St, Overland Park, KS 66204 Phone: 913-362-1660 | |
| Rima Mounla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10208 W 147th St, Overland Park, KS 66221 Phone: 502-963-1031 | |
| Dr. Jennifer Rebecca Mellick, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7301 W 133rd St, Suite 102, Overland Park, KS 66213 Phone: 913-888-4567 Fax: 913-888-1277 |