Optum Medical Group P A - Medicare Primary Care in Overland Park, KS

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Optum Medical Group P A is a medicare enrolled primary clinic (Family Medicine) in Overland Park, Kansas. The current practice location for Optum Medical Group P A is 6860 W 115th St, Overland Park, Kansas. For appointments, you can reach them via phone at (913) 253-0601. The mailing address for Optum Medical Group P A is Po Box 35380, Las Vegas, Nevada and phone number is (702) 579-3253.

Optum Medical Group P A is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063143907. 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) 253-0601.

Contact Information

Optum Medical Group P A
6860 W 115th St
Overland Park
KS 66211-2457
(913) 253-0601
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameOptum Medical Group P A
SpecialityFamily Medicine
Location6860 W 115th St, Overland Park, Kansas
Authorized Official Name and PositionEmily Castillo (MEDICAL STAFF MANAGER)
Authorized Official Contact7024802550
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Optum Medical Group P A
Po Box 35380
Las Vegas
NV 89133-5380

Ph: (702) 579-3253		Optum Medical Group P A
6860 W 115th St
Overland Park
KS 66211-2457

Ph: (913) 253-0601

NPI Details:

NPI Number1063143907
Provider Enumeration Date06/21/2022
Last Update Date10/27/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7214168111
Medicare Enrollment IDO20220928000391

Medical Identifiers

Medical identifiers for Optum Medical Group P A such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063143907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Optum Medical Group P A acts as a billing entity for following providers:
Provider NameBrooke Ottesen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063762946
PECOS PAC ID: 5092966473
Enrollment ID: I20121112000483
Provider NameJessica Glaser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134589781
PECOS PAC ID: 4183910706
Enrollment ID: I20160908001089
Provider NameAndrea C Hawkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972616688
PECOS PAC ID: 9638294978
Enrollment ID: I20170109000120
Provider NameMichelle Madera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326516519
PECOS PAC ID: 1052656808
Enrollment ID: I20181222000160
Provider NameNana Amma Asante
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932705647
PECOS PAC ID: 2860891140
Enrollment ID: I20210519002161
Provider NameMariam Seacord
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265077937
PECOS PAC ID: 4981095684
Enrollment ID: I20220106000147
Provider NamePatricia Elizabeth Fowler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811509862
PECOS PAC ID: 8325424492
Enrollment ID: I20220928000486
Provider NameWilliam Bernard Beachum Iii
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932827169
PECOS PAC ID: 0143606087
Enrollment ID: I20221010000505
Provider NameDavid Nill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528053543
PECOS PAC ID: 0547278467
Enrollment ID: I20221209000662
Provider NameAmanpreet Shergill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356051676
PECOS PAC ID: 1254701709
Enrollment ID: I20221228001738
Provider NameDaleen Marie Royer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396466850
PECOS PAC ID: 3375913072
Enrollment ID: I20230105002889
Provider NameBailey Shannon Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700592854
PECOS PAC ID: 4688046931
Enrollment ID: I20230214002208
Provider NameElizabeth M Schraeder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609418714
PECOS PAC ID: 4981076254
Enrollment ID: I20230214003157
Provider NameEmma Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104545763
PECOS PAC ID: 7719359876
Enrollment ID: I20230302001608
Provider NameJames Kendall Walker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760439020
PECOS PAC ID: 4284635095
Enrollment ID: I20230307001666

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.