| Optum | |
|
6860 W 115th St Overland Park KS 66211-2457 | |
| (913) 253-0601 | |
| Not Available |
| Full Name | Optum |
|---|---|
| Speciality | Family Medicine |
| Location | 6860 W 115th St, Overland Park, Kansas |
| Authorized Official Name and Position | Emily Castillo (MEDICAL STAFF MANAGER) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Po Box 35380 Las Vegas NV 89133-5380 Ph: (702) 579-3253 | Optum 6860 W 115th St Overland Park KS 66211-2457 Ph: (913) 253-0601 |
| NPI Number | 1063143907 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Medicare PECOS PAC ID | 7214168111 |
|---|---|
| Medicare Enrollment ID | O20220928000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063143907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Brooke Ottesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063762946 PECOS PAC ID: 5092966473 Enrollment ID: I20121112000483 |
| Provider Name | Jessica Glaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134589781 PECOS PAC ID: 4183910706 Enrollment ID: I20160908001089 |
| Provider Name | Andrea C Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972616688 PECOS PAC ID: 9638294978 Enrollment ID: I20170109000120 |
| Provider Name | Michelle Anne Madera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326516519 PECOS PAC ID: 1052656808 Enrollment ID: I20181222000160 |
| Provider Name | Nana Amma Asante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932705647 PECOS PAC ID: 2860891140 Enrollment ID: I20210519002161 |
| Provider Name | Mariam Seacord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265077937 PECOS PAC ID: 4981095684 Enrollment ID: I20220106000147 |
| Provider Name | Patricia Elizabeth Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811509862 PECOS PAC ID: 8325424492 Enrollment ID: I20220928000486 |
| Provider Name | Shannon Rebecca Jacobs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841821113 PECOS PAC ID: 7214313386 Enrollment ID: I20220928000537 |
| Provider Name | William Bernard Beachum III |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932827169 PECOS PAC ID: 0143606087 Enrollment ID: I20221010000505 |
| Provider Name | Daleen Marie Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396466850 PECOS PAC ID: 3375913072 Enrollment ID: I20230105002889 |
| Provider Name | Bailey Shannon Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700592854 PECOS PAC ID: 4688046931 Enrollment ID: I20230214002208 |
| Provider Name | Elizabeth Schraeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418714 PECOS PAC ID: 4981076254 Enrollment ID: I20230214003157 |
| Provider Name | Shianne Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083209415 PECOS PAC ID: 9537542063 Enrollment ID: I20230302000152 |
| Provider Name | Emma Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104545763 PECOS PAC ID: 7719359876 Enrollment ID: I20230302001608 |
| Provider Name | James Kendall Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760439020 PECOS PAC ID: 4284635095 Enrollment ID: I20230307001666 |
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Francisco M. Garcia, M D PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10640 W 87th St, Overland Park, KS 66214 Phone: 913-888-0780 Fax: 913-888-3402 |
Millie Medical of Kansas, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12022 Blue Valley Pkwy Ste 523, Overland Park, KS 66213 Phone: 561-476-0060 |
Concussion Care Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6500 W 143rd St, Overland Park, KS 66223 Phone: 913-214-2722 Fax: 833-973-5804 |
Saint Lukes Convenient Care 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 |