| Sean E Fulton, | |
|
9100 W 74th St, Shawnee Mission, KS 66204-4004 | |
| (913) 676-2214 | |
| Not Available |
| Full Name | Sean E Fulton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 9100 W 74th St, Shawnee Mission, 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 |
|---|---|---|---|
| 1639178668 | NPI | - | NPPES |
| 100395150A | Medicaid | KS | |
| 29256017 | Other | BLUE CROSS BLUE SHIELD | |
| 205437502 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD159272 (Missouri) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD159272 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Er Physicians South, P.a. | 2860458544 | 30 |
| Entity Name | Er Physicians South, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194100057 PECOS PAC ID: 2860458544 Enrollment ID: O20051101000964 |
| Entity Name | Em Specialists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801112743 PECOS PAC ID: 1153452644 Enrollment ID: O20100628000352 |
| Entity Name | Kansas Medical Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629778766 PECOS PAC ID: 6800261181 Enrollment ID: O20230419001909 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean E Fulton, Po Box 2747, Shawnee Mission, KS 66201-2747 Ph: (800) 968-6866 | Sean E Fulton, 9100 W 74th St, Shawnee Mission, KS 66204-4004 Ph: (913) 676-2214 |
Brett R Hailey, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
Benjamin Thomas Sundling, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
Dr. Annie Nyffeler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
Dr. John Evaristo Perez Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 | |
Dr. Kenneth A Newman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-789-5561 Fax: 913-789-1835 | |
Darren Amundsen Boyack, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 Fax: 913-789-3106 |