| Integrated Psychiatric Consultants Pa | |
|
8629 Bluejacket St Suite 102 Lenexa KS 66214-1604 | |
| (913) 890-7087 | |
| (913) 677-3282 |
| Full Name | Integrated Psychiatric Consultants Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8629 Bluejacket St, Lenexa, Kansas |
| Authorized Official Name and Position | Linda Chambers (MANAGER) |
| Authorized Official Contact | 9138907087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psychiatric Consultants Pa 8629 Bluejacket St Suite 102 Lenexa KS 66214-1604 Ph: (913) 890-7087 | Integrated Psychiatric Consultants Pa 8629 Bluejacket St Suite 102 Lenexa KS 66214-1604 Ph: (913) 890-7087 |
| NPI Number | 1306296280 |
|---|---|
| Provider Enumeration Date | 06/21/2016 |
| Last Update Date | 06/21/2016 |
| Medicare PECOS PAC ID | 1355243387 |
|---|---|
| Medicare Enrollment ID | O20040223000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306296280 | NPI | - | NPPES |
| PENDING | Medicaid | KS | |
| PENDING | Other | KS | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Vishal K Adma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649238221 PECOS PAC ID: 4688576622 Enrollment ID: I20040227000167 |
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