| Dr Funtimes Mental Wellness Llc | |
|
7050 W 107th St Ste 10 Overland Park KS 66212-1921 | |
| (913) 205-2677 | |
| Not Available |
| Full Name | Dr Funtimes Mental Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7050 W 107th St Ste 10, Overland Park, Kansas |
| Authorized Official Name and Position | Jennifer Ann Brown (NURSE PRACTITIONER) |
| Authorized Official Contact | 9132052677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Funtimes Mental Wellness Llc 833 Sw Lemans Ln # 126 Lees Summit MO 64082-4618 Ph: (913) 205-2677 | Dr Funtimes Mental Wellness Llc 7050 W 107th St Ste 10 Overland Park KS 66212-1921 Ph: (913) 205-2677 |
| NPI Number | 1376278648 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Medicare PECOS PAC ID | 4981084381 |
|---|---|
| Medicare Enrollment ID | O20220701000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376278648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jennifer A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548659675 PECOS PAC ID: 1355667734 Enrollment ID: I20220729000230 |
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