| Cobra Chamblee, DO | |
|
810 W Bramley St, Jetmore, KS 67854-9320 | |
| (620) 357-8354 | |
| (620) 357-6460 |
| Full Name | Cobra Chamblee |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 810 W Bramley St, Jetmore, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366461741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K8686 (Texas) | Secondary |
| 207Q00000X | Family Medicine | OS17772 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 0550484 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of The Prairie | Dodge city, KS | Home health agency |
| Hospice Of The Prairie | Dodge city, KS | Hospice |
| Hodgeman County Health Center | Jetmore, KS | Hospital |
| Plains Memorial Hospital | Dimmitt, TX | Hospital |
| W J Mangold Memorial Hospital | Lockney, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Castro County Hospital District | 3870404064 | 30 |
| Fisher County Hospital District | 2163311465 | 26 |
| Hodgeman County Health Center | 5799696894 | 12 |
| Hodgeman County Health Center | 5799696894 | 12 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Castro County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891828059 PECOS PAC ID: 3870404064 Enrollment ID: O20040309001224 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Cobra Chamblee, DO Po Box 310, Jetmore, KS 67854-0310 Ph: (620) 357-8361 | Cobra Chamblee, DO 810 W Bramley St, Jetmore, KS 67854-9320 Ph: (620) 357-8354 |
Alejandro David Vando Pedrosa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 810 W Bramley St, Jetmore, KS 67854 Phone: 772-530-1346 | |
Dr. Robert E Wray, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 810 W Bramley St, Jetmore, KS 67854 Phone: 620-357-8354 Fax: 620-357-6460 |