| Dr Glen Ray Patton, DO | |
|
606 Mulberry Rd, Derby, KS 67037-3532 | |
| (316) 788-3787 | |
| (316) 788-6930 |
| Full Name | Dr Glen Ray Patton |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 606 Mulberry Rd, Derby, 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 |
|---|---|---|---|
| 1922073337 | NPI | - | NPPES |
| P00099501 | Other | KS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-19924 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heartland Hh Care & Hospice | Wichita, KS | Home health agency |
| Phoenix Home Care, Inc | Wichita, KS | Home health agency |
| Rock Regional Hospital, Llc | Derby, KS | Hospital |
| Wesley Medical Center | Wichita, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanglewood Family Medical Center Pa | 7113911389 | 8 |
| Entity Name | Tanglewood Family Medical Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659472306 PECOS PAC ID: 7113911389 Enrollment ID: O20040412000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glen Ray Patton, DO 606 Mulberry Rd, Derby, KS 67037-3532 Ph: (316) 788-3787 | Dr Glen Ray Patton, DO 606 Mulberry Rd, Derby, KS 67037-3532 Ph: (316) 788-3787 |
Emily O'dell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Tall Tree Rd, Derby, KS 67037 Phone: 316-789-8222 | |
Constantine Paul Panakos, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 N Mulberry Rd, Tanglewood Medical Center, Pa, Derby, KS 67037 Phone: 316-788-3787 Fax: 316-788-2618 | |
Dr. Catherine E. Vitosh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 606 Mulberry Rd, Derby, KS 67037 Phone: 316-788-3787 Fax: 316-788-2618 | |
C Gordon Harrod, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1720 Osage Rd, Derby, KS 67037 Phone: 316-789-8222 Fax: 316-789-8449 | |
David Wayne Niederee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 N Rock Rd, Derby, KS 67037 Phone: 316-788-6963 Fax: 316-788-5373 | |
Dr. Luke Gregory Lawrence Records, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 N Woodlawn Blvd, Derby, KS 67037 Phone: 316-788-3741 Fax: 316-788-5198 | |
Sara E Purdy, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1640 E Tall Tree, Derby, KS 67037 Phone: 316-789-8222 |