| Comoche Lamothe, MD | |
|
Rural Route 3, Box 89, Larned, KS 67550-9365 | |
| (620) 804-2066 | |
| Not Available |
| Full Name | Comoche Lamothe |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | Rural Route 3, Larned, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588724173 | NPI | - | NPPES |
| 08-00295 | Other | KS | INSTITUTIONAL LICENSE NUM |
| 106005 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ACN565 (Florida) | Primary |
| Entity Name | Florida Department Of Children And Families |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Comoche Lamothe, MD 40 Helm Dr, Covington, GA 30014-8347 Ph: (620) 804-2066 | Comoche Lamothe, MD Rural Route 3, Box 89, Larned, KS 67550-9365 Ph: (620) 804-2066 |
Jean Vil, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1301 Ks Hwy 264, Larned, KS 67550 Phone: 620-285-4837 Fax: 620-285-4579 | |
Emmanuel T Okeke, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1301 Ks Hwy 264, Larned, KS 67550 Phone: 620-285-4507 Fax: 620-285-4509 | |
Michel Gratia, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Rural Route 3, Box 89, Larned, KS 67550 Phone: 620-285-4580 Fax: 620-285-4579 | |
Washington E. Moscoso, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1301 Ks Hwy 264, Larned, KS 67550 Phone: 620-285-4747 Fax: 620-285-4067 | |
Yamil R. Pena, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1301 Ks Hwy 264, Larned, KS 67550 Phone: 620-285-4507 Fax: 620-285-4509 | |
Walter I Dumorne, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1301 Ks Highway 264, Larned, KS 67550 Phone: 620-804-1035 | |
Regina Denise Miles, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1301 Ks Hwy 264, Larned, KS 67550 Phone: 620-804-2079 |