| Dr John R Whitehead, DO | |
|
2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | |
| (316) 858-2610 | |
| (316) 858-2793 |
| Full Name | Dr John R Whitehead |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2610 N Woodlawn Blvd, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265431860 | NPI | - | NPPES |
| P00615209 | Other | KS | RR MEDICARE (PALMETTO) |
| 100229810I | Medicaid | KS | |
| 100229810J | Medicaid | KS | |
| 100229810R | Medicaid | KS | |
| 100229810Q | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 05-20530 (Kansas) | Primary |
| 207Q00000X | Family Medicine | 05-20530 (Kansas) | Secondary |
| Entity Name | Rooks County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003936840 PECOS PAC ID: 8325959331 Enrollment ID: O20040129000776 |
| Entity Name | Ellsworth County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972504546 PECOS PAC ID: 5395643357 Enrollment ID: O20040716000216 |
| Entity Name | West Central Kansas Association Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417939729 PECOS PAC ID: 4981512001 Enrollment ID: O20061104000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John R Whitehead, DO 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 Ph: (316) 858-2610 | Dr John R Whitehead, DO 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 Ph: (316) 858-2610 |
David A Tucker, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-268-5775 Fax: 316-291-7496 | |
Brendan Mcdaniel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2000 Fax: 303-306-7753 | |
Dr. Jeffrey K Bell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis St, Emergency Department Via Christi Hospital, Wichita, KS 67214 Phone: 316-268-5775 Fax: 316-291-7496 | |
Curt D Meinecke, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis St, Emergency Department, Wichita, KS 67214 Phone: 316-268-5775 Fax: 316-291-7496 | |
Brian S. Katan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-268-5775 Fax: 316-291-7496 | |
Paul Sovell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2239 | |
Kent Potter, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2239 |