| Dr Gary Lee Petry, MD | |
|
1110 Columbine Drive, Holton, KS 66436 | |
| (785) 364-2126 | |
| (785) 364-2801 |
| Full Name | Dr Gary Lee Petry |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 1110 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 |
|---|---|---|---|
| 1073605085 | NPI | - | NPPES |
| 80175101 | Other | KS | RR MEDICARE |
| 10039800A | Medicaid | KS | |
| 101003 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0428470 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent General Hospital District | Leadville, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Vincent General Hospital District | 4587574884 | 8 |
| Entity Name | St. Vincent General Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497710958 PECOS PAC ID: 4587574884 Enrollment ID: O20040316001421 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Lee Petry, MD 1110 Columbine Drive, Holton, KS 66436 Ph: (785) 364-2126 | Dr Gary Lee Petry, MD 1110 Columbine Drive, Holton, KS 66436 Ph: (785) 364-2126 |
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 | |
Clint M Colberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Columbine Drive, Holton, KS 66436 Phone: 785-364-2116 Fax: 785-364-9613 |