| Thomas Jesse Brandon, NP | |
|
10101 Renner Blvd, Lenexa, KS 66219-9752 | |
| (800) 873-8845 | |
| (913) 859-6887 |
| Full Name | Thomas Jesse Brandon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 10101 Renner Blvd, 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 |
|---|---|---|---|
| 1184018558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 4704243187 (Michigan) | Primary |
| Entity Name | Healthfair Plus Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220707000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Jesse Brandon, NP 25373 Van Dyke Ave, Center Line, MI 48015-1425 Ph: (586) 436-4469 | Thomas Jesse Brandon, NP 10101 Renner Blvd, Lenexa, KS 66219-9752 Ph: (800) 873-8845 |
Eileen Frances Frausto, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9913 Sunset Dr, Lenexa, KS 66220 Phone: 913-308-5498 | |
Everett G. Bennett Iii, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11001 Hauser St, Lenexa, KS 66210 Phone: 913-353-4703 Fax: 913-353-4031 | |
Robert Otto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7721 Quivira Rd, Lenexa, KS 66216 Phone: 913-706-2508 Fax: 913-248-2808 | |
Mrs. Lillie Mae Dean, REG.NURSEPRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10101 Renner Blvd, Lenexa, KS 66219 Phone: 913-577-1641 Fax: 913-859-6887 | |
Hailey Wank, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11150 Thompson Ave, Lenexa, KS 66219 Phone: 913-850-7500 Fax: 913-850-7579 | |
Jessica Michelle Croft, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15928 W 84th Ter, Lenexa, KS 66219 Phone: 913-653-3356 | |
Olivia Ann Keenan, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7825 Woodstone Ln, Lenexa, KS 66217 Phone: 785-640-8818 |