| Centerwell Senior Primary Care Ks Pa | |
|
16575 W 119th St Olathe KS 66061-7770 | |
| (913) 815-5508 | |
| (855) 446-7281 |
| Full Name | Centerwell Senior Primary Care Ks Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 16575 W 119th St, Olathe, Kansas |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care Ks Pa 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care Ks Pa 16575 W 119th St Olathe KS 66061-7770 Ph: (913) 815-5508 |
| NPI Number | 1013438654 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 08/19/2024 |
| Medicare PECOS PAC ID | 6002230349 |
|---|---|
| Medicare Enrollment ID | O20200721000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013438654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard B Hilgenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366542680 PECOS PAC ID: 0941267710 Enrollment ID: I20041213001054 |
| Provider Name | Angela M Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174633531 PECOS PAC ID: 3375599343 Enrollment ID: I20050323000973 |
| Provider Name | Scott E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093714933 PECOS PAC ID: 9739188152 Enrollment ID: I20070213000404 |
| Provider Name | Carol A Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124018437 PECOS PAC ID: 4385647163 Enrollment ID: I20080421000182 |
| Provider Name | William Stueve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225016462 PECOS PAC ID: 2466644893 Enrollment ID: I20101004001299 |
| Provider Name | Thuytien Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386984045 PECOS PAC ID: 2062650187 Enrollment ID: I20130531000485 |
| Provider Name | Jennie P Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013344613 PECOS PAC ID: 1052549300 Enrollment ID: I20140111000214 |
| Provider Name | Marianne Cecille Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457580060 PECOS PAC ID: 4486877313 Enrollment ID: I20140522001074 |
| Provider Name | Keri J Sutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457731309 PECOS PAC ID: 3476700493 Enrollment ID: I20150710000115 |
| Provider Name | Valerie Dawn Helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497137806 PECOS PAC ID: 9032414065 Enrollment ID: I20160413001711 |
| Provider Name | Elizabeth M Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134663701 PECOS PAC ID: 8022385889 Enrollment ID: I20170526000070 |
| Provider Name | Stephanie M Ikeme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790921914 PECOS PAC ID: 5395999767 Enrollment ID: I20190218000293 |
| Provider Name | Shanna Rose Ripley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184985921 PECOS PAC ID: 8123241270 Enrollment ID: I20210728002090 |
| Provider Name | Dagny Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962170845 PECOS PAC ID: 1759788144 Enrollment ID: I20210928001927 |
| Provider Name | Cereasa Leeann Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669048211 PECOS PAC ID: 1951708130 Enrollment ID: I20210930002814 |
| Provider Name | Lauren Kay Rojas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578041125 PECOS PAC ID: 6709128390 Enrollment ID: I20220107001733 |
| Provider Name | Nancy Stepanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861624843 PECOS PAC ID: 3476745746 Enrollment ID: I20220303000842 |
| Provider Name | Vinod Velakaturi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235124298 PECOS PAC ID: 7810025715 Enrollment ID: I20220413001734 |
| Provider Name | Erin Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588382501 PECOS PAC ID: 6709260300 Enrollment ID: I20220831001626 |
| Provider Name | Sarah Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164969143 PECOS PAC ID: 4587949631 Enrollment ID: I20221102000456 |
| Provider Name | Amanda Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346946639 PECOS PAC ID: 7113392242 Enrollment ID: I20230403002513 |
| Provider Name | Sequita Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356312458 PECOS PAC ID: 0749270213 Enrollment ID: I20230429000086 |
| Provider Name | Kenneth Lan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316439169 PECOS PAC ID: 6002214871 Enrollment ID: I20250212003481 |
| Provider Name | Demi Marie Winifred Simental |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407652555 PECOS PAC ID: 1254858822 Enrollment ID: I20250507001210 |
Populus Physician Services, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15710 W 135th St Fl 2, Olathe, KS 66062 Phone: 913-708-1169 | |
Audacity Business Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 N Meadowbrook Dr Ste 110, Olathe, KS 66062 Phone: 762-338-1275 | |
Spira Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15710 W 135th St, Olathe, KS 66062 Phone: 913-297-7472 | |
Health Partnership Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14545 W 127th St, Olathe, KS 66062 Phone: 913-648-2266 Fax: 913-768-1944 | |
Health Partnership Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Prairie St, Olathe, KS 66061 Phone: 913-648-2266 Fax: 913-768-1944 | |
American Current Care Of Kansas Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15430 S Rogers Rd, Olathe, KS 66062 Phone: 913-495-9905 Fax: 913-495-9945 |