| Shanda Riley, MD | |
|
8929 Parallel Pkwy, Kansas City, KS 66112-3607 | |
| (913) 596-4000 | |
| Not Available |
| Full Name | Shanda Riley |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 8929 Parallel Pkwy, 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 |
|---|---|---|---|
| 1043300270 | NPI | - | NPPES |
| 200355370A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0431238 (Kansas) | Secondary |
| 207P00000X | Emergency Medicine | 2013026520 (Missouri) | Primary |
| Entity Name | Eastern Kansas Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003561598 PECOS PAC ID: 3971990284 Enrollment ID: O20220504002305 |
| Entity Name | Emergency Medicine Services Of Ks, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649979451 PECOS PAC ID: 4385009695 Enrollment ID: O20230420000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanda Riley, MD 2951 N Governeour St, Wichita, KS 67226-1760 Ph: (316) 201-1133 | Shanda Riley, MD 8929 Parallel Pkwy, Kansas City, KS 66112-3607 Ph: (913) 596-4000 |
Thomas Deskin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Olathe Blvd Level 1, Suite D, Kansas City, KS 66160 Phone: 135-882-2009 Fax: 913-588-8423 | |
Stephanie Thom, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Department Of Emergency Medicine, 4000 Cambridge Street Ms 1019, Kansas City, KS 66160 Phone: 913-588-5000 | |
Lawson Montgomery, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 Phone: 913-945-7483 | |
Austin Mayes Petz, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1559 | |
Mary L. Thiessen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-6500 | |
Adam Skinner, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 |