| Clint M Colberg, MD | |
|
1100 Columbine Drive, Holton, KS 66436 | |
| (785) 364-2116 | |
| (785) 364-9613 |
| Full Name | Clint M Colberg |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 1100 Columbine Drive, Holton, 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 |
|---|---|---|---|
| 1558337287 | NPI | - | NPPES |
| 104645 | Other | KS | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6300 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 0432089 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 04-32089 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holton Community Hospital Hh & Hospice Agency | Holton, KS | Home health agency |
| Holton Community Hospital | Holton, KS | Hospital |
| Kiowa County Memorial Hospital | Greensburg, KS | Hospital |
| University Of Kansas Health System - St Francis Campus | Topeka, KS | Hospital |
| Stormont Vail Hospital | Topeka, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Resources Of Jackson Co Inc | 7810807690 | 21 |
| Kiowa County Memorial Hospital | 9638589369 | 8 |
| Entity Name | Rural Health Resources Of Jackson Co Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235238296 PECOS PAC ID: 7810807690 Enrollment ID: O20031111000573 |
| Entity Name | Kiowa County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1942309166 PECOS PAC ID: 9638589369 Enrollment ID: O20201211000779 |
| Entity Name | Kiowa County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063009819 PECOS PAC ID: 9638589369 Enrollment ID: O20210223001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Clint M Colberg, MD 1100 Columbine Drive, Holton, KS 66436 Ph: (785) 364-2116 | Clint M Colberg, MD 1100 Columbine Drive, Holton, KS 66436 Ph: (785) 364-2116 |
Dr. Gary Lee Petry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Columbine Drive, Holton, KS 66436 Phone: 785-364-2126 Fax: 785-364-2801 | |
Marija Kay Lawless, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Columbine Dr Ste 100, Holton, KS 66436 Phone: 785-364-2126 | |
Collin Connor, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1603 W 4th St, Holton, KS 66436 Phone: 785-364-3205 Fax: 785-364-3468 | |
Vance R Lassey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23020 M Rd, Holton, KS 66436 Phone: 785-362-8677 Fax: 785-362-4372 | |
Malia Sm Warner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Columbine Drive, Holton, KS 66436 Phone: 785-365-2116 Fax: 785-364-9613 | |
Ms. Nancy J Zidek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1603 W 4th St, Holton, KS 66436 Phone: 785-364-3205 Fax: 785-364-3468 |