| Phoenix Healthcare Clinic | |
|
11960 Quivira Road Suite #100 Overland Park KS 66213 | |
| (913) 851-0500 | |
| (913) 851-0502 |
| Full Name | Phoenix Healthcare Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 11960 Quivira Road, Overland Park, Kansas |
| Authorized Official Name and Position | Dana Hanson (APRN) |
| Authorized Official Contact | 9135498197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Healthcare Clinic 11960 Quivira Road Suite #100 Overland Park KS 66213 Ph: (913) 851-0500 | Phoenix Healthcare Clinic 11960 Quivira Road Suite #100 Overland Park KS 66213 Ph: (913) 851-0500 |
| NPI Number | 1194000570 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 10/17/2011 |
| Medicare PECOS PAC ID | 8921274259 |
|---|---|
| Medicare Enrollment ID | O20120109000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194000570 | NPI | - | NPPES |
| 100344690D | Medicaid | KS | |
| 1275868622 | Medicaid | MO | |
| 200530820A | Medicaid | KS | |
| 1174628994 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dana C Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275868622 PECOS PAC ID: 6204977762 Enrollment ID: I20101115000213 |
| Provider Name | Karen K Trees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174628994 PECOS PAC ID: 9335146273 Enrollment ID: I20120112000099 |
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Saint Lukes Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 W 95th St, Overland Park, KS 66212 Phone: 913-323-8880 | |
Optum Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211 Phone: 800-645-9656 | |
Optum Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6860 W 115th St, Overland Park, KS 66211 Phone: 913-253-0601 | |
Spira Innovations, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Spira Care Overland Park 7341 W. 133rd St, Overland Park, KS 66213 Phone: 191-329-7747 |