| Dr Supavan K Brown, PHD | |
|
300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759 | |
| (816) 404-6189 | |
| (816) 525-2251 |
| Full Name | Dr Supavan K Brown |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 16 Years |
| Location | 300 Se 2nd St, Lees Summit, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124391388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 2011038966 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Truman Medical Center Lakewood | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Truman Medical Center Incorporated | 7315841418 | 218 |
| Entity Name | Truman Medical Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144207937 PECOS PAC ID: 7315841418 Enrollment ID: O20031120000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Supavan K Brown, PHD 300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759 Ph: (816) 404-6189 | Dr Supavan K Brown, PHD 300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759 Ph: (816) 404-6189 |
Dr. Scott J Symes, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3367 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-246-0111 Fax: 866-335-7993 | |
Clara Elliott, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1272 Ne Windsor Dr, Lees Summit, MO 64086 Phone: 816-246-4465 | |
Dr. Craig A Erisman, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2900 Sw 13th St, Lees Summit, MO 64081 Phone: 816-516-7114 | |
Lawrence Lanyegha Ndango, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2305 Se 5th Ter, Lees Summit, MO 64063 Phone: 816-419-1294 | |
Dr. Susan Lauderdale Waldo, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3904 Sw Windsong Dr, Lees Summit, MO 64082 Phone: 660-596-2400 | |
Kathryn S Roberts, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 409 Se Douglas St, Lees Summit, MO 64063 Phone: 816-795-0004 Fax: 816-578-5449 |