| Mira Kim, ARNP | |
|
720 1st Ter, Lansing, KS 66043-1704 | |
| (913) 682-5588 | |
| (913) 682-2698 |
| Full Name | Mira Kim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 720 1st Ter, Lansing, 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 |
|---|---|---|---|
| 1710212477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 53-74979-072 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint John Hospital | Leavenworth, KS | Hospital |
| Providence Medical Center | Kansas city, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leavenworth Family Health Center | 8628973740 | 3 |
| Entity Name | Leavenworth Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255446480 PECOS PAC ID: 8628973740 Enrollment ID: O20031203000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Kim, ARNP 12413 W 100th Pl, Lenexa, KS 66215-1929 Ph: (913) 492-3484 | Mira Kim, ARNP 720 1st Ter, Lansing, KS 66043-1704 Ph: (913) 682-5588 |
Rachel Marie Frye, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 Progress Dr Ste 180, Lansing, KS 66043 Phone: 913-682-9660 | |
Mrs. Deanna Marchelle Mahoney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 1st Ter Ste 218, Lansing, KS 66043 Phone: 816-944-6828 | |
Jacquelyn S Kemmerer, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1004 Progress Dr Ste 150, Lansing, KS 66043 Phone: 913-297-3215 Fax: 913-297-2732 | |
Devin Daenar Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Bittersweet Ln, Lansing, KS 66043 Phone: 785-643-4378 | |
Brenda Lee Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 757 W Eisenhower Rd, Lansing, KS 66043 Phone: 913-787-3063 | |
Janae Carlson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 Progress Dr Ste 130, Lansing, KS 66043 Phone: 913-632-9940 Fax: 913-680-1275 | |
Carol Diane Jackson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 712 First Terrace, #200, Lansing, KS 66043 Phone: 913-727-6000 Fax: 913-351-1346 |