| Darren Klish, MD | |
|
1709 W 7th St, Chanute, KS 66720-2505 | |
| (620) 431-4815 | |
| (620) 431-4816 |
| Full Name | Darren Klish |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 24 Years |
| Location | 1709 W 7th St, Chanute, 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 |
|---|---|---|---|
| 1922164524 | NPI | - | NPPES |
| 200366510C | Medicaid | KS | |
| 39918013 | Other | KS | BCBS OF KC |
| 107319 | Other | KS | BCBS OF KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 431633 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lmh | Lawrence, KS | Hospital |
| University Of Kansas Hospital | Kansas city, KS | Hospital |
| Neosho Memorial Regional Medical Center | Chanute, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chanute Rt Associates Llc | 6204081466 | 2 |
| Lawrence Physicians Llc | 1951623834 | 223 |
| Lawrence Radiation Oncology, Llc | 6901976190 | 2 |
| Entity Name | Lawrence Radiation Oncology, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629248372 PECOS PAC ID: 6901976190 Enrollment ID: O20080530000132 |
| Entity Name | Chanute RT Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396097218 PECOS PAC ID: 6204081466 Enrollment ID: O20130220000075 |
| Entity Name | Lawrence Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841607090 PECOS PAC ID: 1951623834 Enrollment ID: O20141203002058 |
| Mailing Address | Practice Location Address |
|---|---|
| Darren Klish, MD 1709 W 7th St, Chanute, KS 66720-2505 Ph: (620) 431-4815 | Darren Klish, MD 1709 W 7th St, Chanute, KS 66720-2505 Ph: (620) 431-4815 |
Mark Witaczack, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 629 S Plummer, Chanute, KS 66720 Phone: 316-321-5900 Fax: 316-321-4763 |
Kevin Hamm, DO,PA Radiology Medicare: Accepting Medicare Assignments Practice Location: 629 S Plummer Ave, Chanute, KS 66720 Phone: 316-755-0482 Fax: 316-755-0458 |