| Blake M Gustafson, PA | |
|
4000 Cambridge St, Kansas City, KS 66160-8501 | |
| (913) 588-1227 | |
| Not Available |
| Full Name | Blake M Gustafson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 4000 Cambridge St, Kansas City, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326800574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-02895 (Kansas) | Primary |
| 363A00000X | Physician Assistant | 2024004731 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Kansas Health System Olathe Hospital | Olathe, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kansas University Physicians Inc | 8921911587 | 1809 |
| Entity Name | Kansas University Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
| Entity Name | University of Kansas Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528019502 PECOS PAC ID: 9436054798 Enrollment ID: O20050908001103 |
| 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 |
|---|---|
| Blake M Gustafson, PA 616 Marriott Dr # A, Nashville, TN 37214-5048 Ph: Not Available | Blake M Gustafson, PA 4000 Cambridge St, Kansas City, KS 66160-8501 Ph: (913) 588-1227 |
Lisa M Moravac, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 |
Ms. Leah Marie Willhite, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1200 |
Regan Shaffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St Ste G600, Kansas City, KS 66160 Phone: 913-588-1227 |
Claire Marie Exum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1227 |
Meaghan Palmer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4180 |
Heather A Howell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8919 Parallel Pkwy Ste 380, Kansas City, KS 66112 Phone: 913-788-7099 Fax: 913-788-7065 |
Annie Caldwell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 |