Centerwell Senior Primary Care Ks Pa - Medicare Primary Care in Olathe, KS

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Centerwell Senior Primary Care Ks Pa is a medicare enrolled primary clinic (Internal Medicine) in Olathe, Kansas. The current practice location for Centerwell Senior Primary Care Ks Pa is 16575 W 119th St, Olathe, Kansas. For appointments, you can reach them via phone at (913) 815-5508. The mailing address for Centerwell Senior Primary Care Ks Pa is 4700 Millenia Blvd Ste 650, Orlando, Florida and phone number is (407) 447-7120.

Centerwell Senior Primary Care Ks Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013438654. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (913) 815-5508.

Contact Information

Centerwell Senior Primary Care Ks Pa
16575 W 119th St
Olathe
KS 66061-7770
(913) 815-5508
(855) 446-7281

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care Ks Pa
SpecialityInternal Medicine
Location16575 W 119th St, Olathe, Kansas
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care Ks Pa
4700 Millenia Blvd Ste 650
Orlando
FL 32839-6013

Ph: (407) 447-7120		Centerwell Senior Primary Care Ks Pa
16575 W 119th St
Olathe
KS 66061-7770

Ph: (913) 815-5508

NPI Details:

NPI Number1013438654
Provider Enumeration Date07/05/2017
Last Update Date03/14/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6002230349
Medicare Enrollment IDO20200721000723

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care Ks Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013438654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
208D00000XGeneral Practice (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Centerwell Senior Primary Care Ks Pa acts as a billing entity for following providers:
Provider NameScott E Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093714933
PECOS PAC ID: 9739188152
Enrollment ID: I20070213000404
Provider NameCarol A Harrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124018437
PECOS PAC ID: 4385647163
Enrollment ID: I20080421000182
Provider NameConnie Joan Piekarski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982609459
PECOS PAC ID: 6507981842
Enrollment ID: I20100910000223
Provider NameWilliam Stueve
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225016462
PECOS PAC ID: 2466644893
Enrollment ID: I20101004001299
Provider NameFaisal Nazir Ahmad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912090879
PECOS PAC ID: 9537180922
Enrollment ID: I20101008001140
Provider NameThuytien Le
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386984045
PECOS PAC ID: 2062650187
Enrollment ID: I20130531000485
Provider NameMarianne Cecille Ray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457580060
PECOS PAC ID: 4486877313
Enrollment ID: I20140522001074
Provider NameKatherine D Easley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336547793
PECOS PAC ID: 6709100753
Enrollment ID: I20150121001973
Provider NameStephanie M Ikeme
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790921914
PECOS PAC ID: 5395999767
Enrollment ID: I20190218000293
Provider NameWanda Haynes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235329764
PECOS PAC ID: 6507901311
Enrollment ID: I20200520003089
Provider NameShanna Rose Ripley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184985921
PECOS PAC ID: 8123241270
Enrollment ID: I20210728002090
Provider NameAnthony Gutierrez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558368381
PECOS PAC ID: 6800910464
Enrollment ID: I20210824002965
Provider NameAnthonia Egbedeju
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568758829
PECOS PAC ID: 7719156934
Enrollment ID: I20211209000257
Provider NameLauren Kay Rojas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578041125
PECOS PAC ID: 6709128390
Enrollment ID: I20220107001733
Provider NameNancy Stepanek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861624843
PECOS PAC ID: 3476745746
Enrollment ID: I20220303000842
Provider NameFlor Alejandra Guebara
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578090668
PECOS PAC ID: 6800127515
Enrollment ID: I20220412000795
Provider NameVinod Velakaturi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235124298
PECOS PAC ID: 7810025715
Enrollment ID: I20220413001734
Provider NameSarah Doll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164969143
PECOS PAC ID: 4587949631
Enrollment ID: I20221102000456
Provider NameCristina M Ramirez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720361306
PECOS PAC ID: 1254226442
Enrollment ID: I20230301000862
Provider NameSequita Richardson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356312458
PECOS PAC ID: 0749270213
Enrollment ID: I20230429000086

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.