MEDICARE: ALICIA MARIE BEAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	04-34611	KS
2	207Q00000X	Family Medicine Physician	2020008252	MO

General Provider Information

NPI Number	:	1972629749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA MARIE BEAN M.D.

Provider Business Mailing Address
First Line	:	222 S KANSAS ST
Second Line	:
City	:	RUSSELL
State	:	KS
Zip	:	67665-3000
Country	:	US
Telephone Number	:	785-483-3333
Fax Number	:	785-483-0781

Provider Business Practice Location Address
First Line	:	222 S KANSAS ST
Second Line	:
City	:	RUSSELL
State	:	KS
Zip	:	67665-3000
Country	:	US
Telephone Number	:	785-483-3333
Fax Number	:	785-483-0781

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	10/01/2025

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Directions to “ ALICIA MARIE BEAN M.D.” Practice Location

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