| Philip Russo Petrosky, DO | |
|
10500 Quivira Rd, Overland Park, KS 66215-2306 | |
| (913) 541-5000 | |
| (913) 541-5625 |
| Full Name | Philip Russo Petrosky |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 4 Years |
| Location | 10500 Quivira Rd, Overland Park, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114505419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0549995 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Menorah Medical Center | Overland park, KS | Hospital |
| Overland Park Reg Med Ctr | Overland park, KS | Hospital |
| Lee's Summit Medical Center | Lees summit, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kc Hospitalists Pa | 2860635117 | 47 |
| Kc Hospitalists Pa | 2860635117 | 47 |
| Entity Name | Kc Hospitalists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922348069 PECOS PAC ID: 2860635117 Enrollment ID: O20130905000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Russo Petrosky, DO 12200 W 106th St Ste 325, Overland Park, KS 66215-2305 Ph: (913) 541-6022 | Philip Russo Petrosky, DO 10500 Quivira Rd, Overland Park, KS 66215-2306 Ph: (913) 541-5000 |
Dr. Matthew P Harrison, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10116 W 105th St, Overland Park, KS 66212 Phone: 913-541-0510 Fax: 913-541-1852 | |
Soumojit Ghosh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10116 W 105th St, Overland Park, KS 66212 Phone: 913-541-0510 Fax: 913-541-1852 | |
Louay K. Sabih, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10550 Marty St Ste 201, Overland Park, KS 66212 Phone: 913-341-4000 Fax: 913-383-2868 | |
Dr. Lisa G. Distefano, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12541 Foster St Ste 300, Overland Park, KS 66213 Phone: 913-317-3200 Fax: 913-317-3218 | |
Dr. Paul G Diederich, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10787 Nall Ave, Ste. 310, Overland Park, KS 66211 Phone: 913-945-6900 Fax: 913-945-6970 | |
Mini R Abraham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10000 College Blvd, Overland Park, KS 66210 Phone: 913-258-5055 Fax: 913-258-5057 | |
Jeena Viji Eapen, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 10540 Marty St Ste 100, Overland Park, KS 66212 Phone: 913-660-1616 Fax: 913-660-0998 |