| Andrea Teresa Dimichele-manes, MD | |
|
310 E Walnut St, Garden City, KS 67846-5572 | |
| (620) 275-9752 | |
| (620) 275-4306 |
| Full Name | Andrea Teresa Dimichele-manes |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 310 E Walnut St, Garden City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689774788 | NPI | - | NPPES |
| 5906092 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 200601542 (North Carolina) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 04-45692 (Kansas) | Primary |
| Entity Name | Pocatello Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Teresa Dimichele-manes, MD 11083 W 2 1/2 Mile Rd, Chubbuck, ID 83202-5208 Ph: (910) 639-5703 | Andrea Teresa Dimichele-manes, MD 310 E Walnut St, Garden City, KS 67846-5572 Ph: (620) 275-9752 |
Selma J Schultz, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 712a Saint John St, Garden City, KS 67846 Phone: 620-275-1766 Fax: 620-275-4729 | |
Jeffrey L Schaffer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 115 N Main St, Garden City, KS 67846 Phone: 620-275-9752 Fax: 620-275-4306 | |
Paul J Meyers, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 310 E Walnut St, Garden City, KS 67846 Phone: 620-275-9752 Fax: 620-275-4306 | |
Ross James Valone, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 310 E Walnut St, Garden City, KS 67846 Phone: 620-275-9752 Fax: 620-275-4306 | |
Christopher Alan Lane, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 310 E Walnut St, Garden City, KS 67846 Phone: 620-275-9752 Fax: 620-275-4306 | |
Bret E Heskett, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 712a Saint John St, Garden City, KS 67846 Phone: 620-275-1766 Fax: 620-275-4729 |