| Thomas Wayne Fulbright, MD | |
|
8901 W 74th St Ste 2, Shawnee Mission, KS 66204-2201 | |
| (913) 261-2222 | |
| (913) 261-2229 |
| Full Name | Thomas Wayne Fulbright |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 8901 W 74th St Ste 2, 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 |
|---|---|---|---|
| 1548213119 | NPI | - | NPPES |
| 19774052 | Other | KS | BLUE CROSS BLUE SHIELD KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2008009944 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 2008009944 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 0421422 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Research Medical Center | Kansas city, MO | Hospital |
| Neosho Memorial Regional Medical Center | Chanute, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dunn Physician Services Llc | 0345787578 | 47 |
| Missouri Hb Medical Services Llc | 2668813197 | 62 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Entity Name | Bothwell Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
| Entity Name | Inpatient Consultants Of Kansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861795635 PECOS PAC ID: 9335329556 Enrollment ID: O20110204000829 |
| Entity Name | Cogent Healthcare Of Missouri Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863 |
| Entity Name | Cole Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144578659 PECOS PAC ID: 0648420810 Enrollment ID: O20121024000296 |
| Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20160830002898 |
| Entity Name | Hcc Of Carroll County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649805763 PECOS PAC ID: 0042640633 Enrollment ID: O20200422002625 |
| Entity Name | Ies Hsp Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962102871 PECOS PAC ID: 3173989290 Enrollment ID: O20230516001984 |
| Entity Name | Missouri Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922868462 PECOS PAC ID: 2668813197 Enrollment ID: O20240514004087 |
| Entity Name | Dunn Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437990082 PECOS PAC ID: 0345787578 Enrollment ID: O20240805003445 |
| Entity Name | Cs Pacs 3 Midwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972368785 PECOS PAC ID: 4183164734 Enrollment ID: O20241003002367 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Wayne Fulbright, MD 8901 W 74th St Ste 2, Shawnee Mission, KS 66204-2201 Ph: (913) 261-2222 | Thomas Wayne Fulbright, MD 8901 W 74th St Ste 2, Shawnee Mission, KS 66204-2201 Ph: (913) 261-2222 |
Kristin M Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7450 Kessler St Ste 300, Shawnee Mission, KS 66204 Phone: 913-632-2900 Fax: 913-831-6881 | |
Rebecca L. Gernon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7301 E Frontage Rd, Suite 100, Shawnee Mission, KS 66204 Phone: 913-789-1940 Fax: 913-384-4093 | |
Dr. Steven Joseph Broxterman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9119 West 74th Street, Suite 150, Shawnee Mission, KS 66204 Phone: 913-789-1980 Fax: 913-789-1990 | |
Dr. Ziana A Liese, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2126 Fax: 913-676-2127 | |
Dr. Roger M Bruning, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7301 E Frontage Rd, Suite 100, Shawnee Mission, KS 66204 Phone: 913-384-4040 Fax: 913-384-4093 | |
Dr. Daniel W Schmoll, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7301 E Frontage Rd, Suite 100, Shawnee Mission, KS 66204 Phone: 913-384-4040 Fax: 913-384-4093 | |
Dr. Arnold L Tropp, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 7312 Antioch Rd, Shawnee Mission, KS 66204 Phone: 913-384-2999 Fax: 913-722-6159 |