| Mr Timothy C Stallard, PA | |
|
23401 Prairie Star Pkwy, Suite 300, Lenexa, KS 66227-7268 | |
| (913) 677-6319 | |
| (913) 677-1540 |
| Full Name | Mr Timothy C Stallard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 23401 Prairie Star Pkwy, Lenexa, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679536148 | NPI | - | NPPES |
| 30004502040004 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 1500547 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy C Stallard, PA 23401 Prairie Star Pkwy Ste B300, Lenexa, KS 66227-7268 Ph: (913) 677-6319 | Mr Timothy C Stallard, PA 23401 Prairie Star Pkwy, Suite 300, Lenexa, KS 66227-7268 Ph: (913) 677-6319 |
Mary Beth Stuart, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15319 W 95th St, Lenexa, KS 66219 Phone: 913-495-9905 | |
Jordan Levi Walter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16990 W 86th St, Ste 100, Lenexa, KS 66219 Phone: 913-676-8400 Fax: 913-599-1692 | |
Andrew Mackay Williamson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 23401 Prairie Star Pkwy Ste B-300, Lenexa, KS 66227 Phone: 913-677-6319 Fax: 913-677-1540 | |
Kendra Elizabeth Rogers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8111 Quivira Rd Apt 12106, Lenexa, KS 66215 Phone: 636-484-2934 | |
Mrs. Gabriella Perez-barr, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8741 Ryckert St, Lenexa, KS 66219 Phone: 386-344-5057 | |
Amy L. Dix, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12208 W 87th Street Pkwy, Suite 180, Lenexa, KS 66215 Phone: 913-438-0868 Fax: 913-338-1311 | |
Christina J Kelly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19601 W 101st St, Lenexa, KS 66219 Phone: 913-780-0497 |