| Wellspring Healthcare Llc | |
|
12700 Antioch Rd Shawnee Mission KS 66213-2827 | |
| (909) 815-3324 | |
| Not Available |
| Full Name | Wellspring Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12700 Antioch Rd, Shawnee Mission, Kansas |
| Authorized Official Name and Position | Brian Moore Haas (DIRECTOR) |
| Authorized Official Contact | 8166988158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Healthcare Llc 705b Se Melody Ln # 184 Lees Summit MO 64063-4380 Ph: (909) 815-3324 | Wellspring Healthcare Llc 12700 Antioch Rd Shawnee Mission KS 66213-2827 Ph: (909) 815-3324 |
| NPI Number | 1659191054 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 10/11/2024 |
| Medicare PECOS PAC ID | 9032509088 |
|---|---|
| Medicare Enrollment ID | O20241213001938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659191054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Hannah P Neenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750627352 PECOS PAC ID: 9436304961 Enrollment ID: I20140829000368 |
| Provider Name | Michele Duckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427698224 PECOS PAC ID: 6507293636 Enrollment ID: I20221216000644 |
| Provider Name | Brian Haas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033352463 PECOS PAC ID: 8729242474 Enrollment ID: I20241218002917 |
John B. Sturgeon M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8800 W 75th St, Ste 310, Shawnee Mission, KS 66204 Phone: 913-671-7803 Fax: 913-722-0012 | |
Ammar Khalifa, M.d., L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8901 W 74th St, Suite 147, Shawnee Mission, KS 66204 Phone: 913-432-8400 Fax: 913-432-8402 | |
Kansas Medical Professionals Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2000 | |
Health Partnership Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9119 W 74th St, Ste 210, Shawnee Mission, KS 66204 Phone: 913-648-2266 | |
Thomas W. Fulbright M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 W 74th St, Shawnee Mission, KS 66204 Phone: 913-261-2222 Fax: 913-261-2229 |