| Silver Arrow Psychiatric Care Of Kansas - Llc | |
|
5251 W 116th Pl Ste 200 Leawood KS 66211-2011 | |
| (913) 420-2160 | |
| (816) 817-2776 |
| Full Name | Silver Arrow Psychiatric Care Of Kansas - Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5251 W 116th Pl Ste 200, Leawood, Kansas |
| Authorized Official Name and Position | John W Locklear (PRESIDENT) |
| Authorized Official Contact | 7402076574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Arrow Psychiatric Care Of Kansas - Llc 2905 W 146th St Leawood KS 66224-5918 Ph: (740) 207-6574 | Silver Arrow Psychiatric Care Of Kansas - Llc 5251 W 116th Pl Ste 200 Leawood KS 66211-2011 Ph: (913) 420-2160 |
| NPI Number | 1730906868 |
|---|---|
| Provider Enumeration Date | 09/20/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Medicare PECOS PAC ID | 9537688270 |
|---|---|
| Medicare Enrollment ID | O20250527000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730906868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Todd J Mekles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326339680 PECOS PAC ID: 2466755392 Enrollment ID: I20160126002395 |
| Provider Name | David M Willey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629364807 PECOS PAC ID: 7214231745 Enrollment ID: I20160203002376 |
| Provider Name | Patrick M Wambugu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914204 PECOS PAC ID: 5991023111 Enrollment ID: I20160210000253 |
| Provider Name | Nghia Trong Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265932982 PECOS PAC ID: 8022371582 Enrollment ID: I20180416000053 |
| Provider Name | Mandy Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326432840 PECOS PAC ID: 8022364967 Enrollment ID: I20180706000563 |
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