| Beloit Medical Center, P.a. | |
|
1005 N Lincoln Ave Beloit KS 67420-1215 | |
| (785) 738-2246 | |
| (785) 738-4303 |
| Full Name | Beloit Medical Center, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1005 N Lincoln Ave, Beloit, Kansas |
| Authorized Official Name and Position | Craig Alan Concannon (SECRETARY/TREASURER) |
| Authorized Official Contact | 7857382246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beloit Medical Center, P.a. Po Box 587 Beloit KS 67420-0587 Ph: (785) 738-2246 | Beloit Medical Center, P.a. 1005 N Lincoln Ave Beloit KS 67420-1215 Ph: (785) 738-2246 |
| NPI Number | 1134176704 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 07/27/2021 |
| Medicare PECOS PAC ID | 5496655169 |
|---|---|
| Medicare Enrollment ID | O20040109000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134176704 | NPI | - | NPPES |
| 003910 | Other | KS | KS. BLUE SHIELD |
| 100088300A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| Provider Name | Carl L Fugate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326017013 PECOS PAC ID: 7517904113 Enrollment ID: I20050414001031 |
| Provider Name | Craig A Concannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891764676 PECOS PAC ID: 5193625861 Enrollment ID: I20050513000431 |
| Provider Name | Christine M Marozas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285603977 PECOS PAC ID: 2062456908 Enrollment ID: I20050613000547 |
| Provider Name | Jason A Cheney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275750325 PECOS PAC ID: 7719051911 Enrollment ID: I20080806000546 |
| Provider Name | Kerri Lynn Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962471235 PECOS PAC ID: 3072643840 Enrollment ID: I20100605000193 |
| Provider Name | Mark Edward Banker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811288160 PECOS PAC ID: 8527353705 Enrollment ID: I20160826001701 |
| Provider Name | Mariah L Crumbaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225327539 PECOS PAC ID: 6204058084 Enrollment ID: I20160826002388 |
| Provider Name | Jessica Ann Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841862901 PECOS PAC ID: 8527461862 Enrollment ID: I20210726000302 |
| Provider Name | Kendra Lanae True |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790394294 PECOS PAC ID: 9436531233 Enrollment ID: I20220726002145 |
| Provider Name | Brady S True |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497485593 PECOS PAC ID: 6305228537 Enrollment ID: I20220803003338 |
| Provider Name | Melinda M Vankooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730814930 PECOS PAC ID: 0547644114 Enrollment ID: I20220831000244 |
Solomon Valley Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 N Pine St, Beloit, KS 67420 Phone: 785-342-0994 | |
Usd 273 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 North Independence, Beloit, KS 67420 Phone: 785-738-3261 Fax: 785-738-4103 |