| Dr Christopher Hazen Short, MD | |
|
4101 Anderson Ave, Manhattan, KS 66503-7588 | |
| (785) 587-4101 | |
| (785) 587-9090 |
| Full Name | Dr Christopher Hazen Short |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4101 Anderson Ave, Manhattan, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689024382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2018039700 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 04-42282 (Kansas) | Primary |
| Entity Name | Stonecreek Family Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093828097 PECOS PAC ID: 9335121565 Enrollment ID: O20040602001030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Hazen Short, MD 4101 Anderson Ave, Manhattan, KS 66503-7588 Ph: (785) 587-4101 | Dr Christopher Hazen Short, MD 4101 Anderson Ave, Manhattan, KS 66503-7588 Ph: (785) 587-4101 |
Bradley Keith Harrison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2012 Vanesta Pl Ste 220, Manhattan, KS 66503 Phone: 857-064-3277 Fax: 785-600-2225 | |
Andrew Pope, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4101 Anderson Ave, Manhattan, KS 66503 Phone: 785-587-4101 | |
Jennifer Kathleen Malcolm, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 Sunset Ave, Manhattan, KS 66502 Phone: 785-532-6544 Fax: 785-532-3425 | |
Dr. Keith A Wright, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Anderson Ave, Manhattan, KS 66503 Phone: 785-587-4101 Fax: 785-587-9090 | |
Robert David Ecklund, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1105 Sunset Ave, Manhattan, KS 66502 Phone: 785-532-7755 Fax: 785-532-6627 | |
Dr. Regan Michele Tilley, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7840 E Us 24 Hwy, Manhattan, KS 66502 Phone: 785-775-1155 Fax: 785-775-1156 | |
Dr. Kevin K Wall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Anderson Ave, Manhattan, KS 66503 Phone: 785-587-4101 Fax: 785-587-9090 |