Dr Jerad E Widman, MD | |
22450 S Harrison St, Ste. 100, Spring Hill, KS 66083-3151 | |
(913) 592-2720 | |
(913) 592-2725 |
Full Name | Dr Jerad E Widman |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 22450 S Harrison St, Spring Hill, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083655039 | NPI | - | NPPES |
200300220D | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04-30763 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ellett Memorial Hospital | Appleton city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Memorial Hospital District | 0345153680 | 12 |
Entity Name | Lincoln County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1942265327 PECOS PAC ID: 0941118061 Enrollment ID: O20030908000008 |
Entity Name | Hospital District No. 6 Of Harper County Kansas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467427674 PECOS PAC ID: 3779571906 Enrollment ID: O20040505000589 |
Entity Name | Lincoln County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841248952 PECOS PAC ID: 0941118061 Enrollment ID: O20050225000744 |
Entity Name | Shawnee Mission Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerad E Widman, MD 22450 S Harrison St, Ste 100, Spring Hill, KS 66083-3151 Ph: (913) 592-2720 | Dr Jerad E Widman, MD 22450 S Harrison St, Ste. 100, Spring Hill, KS 66083-3151 Ph: (913) 592-2720 |
Jennifer C Bulcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22450 S Harrison St Ste 100, Spring Hill, KS 66083 Phone: 913-592-2720 Fax: 913-592-2725 |