| Dr Lucas Abinadi Bohannan, DO | |
|
331 Siijan Ave, Whiteman Afb, MO 65305 | |
| (316) 619-5481 | |
| Not Available |
| Full Name | Dr Lucas Abinadi Bohannan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 331 Siijan Ave, Whiteman Afb, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033567425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2023017104 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 1973 (Nebraska) | Primary |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucas Abinadi Bohannan, DO 331 Siijan Ave, Whiteman Afb, MO 65305 Ph: (316) 619-5481 | Dr Lucas Abinadi Bohannan, DO 331 Siijan Ave, Whiteman Afb, MO 65305 Ph: (316) 619-5481 |
Dr. Colin Matthew Hart, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 331 Sijan Ave, Whiteman Afb, MO 65305 Phone: 660-687-4908 Fax: 660-687-1148 | |
Dr. Christine Elaine Tholen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Sijan Ave, Whiteman Afb, MO 65305 Phone: 660-687-6405 | |
Cassandra Romereim, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Sijen Ave, Whiteman Afb, MO 65305 Phone: 660-687-2188 | |
Dr. Margaret Joan Garner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Sijen Ave, 509th Medical Group, Family Practice, Whiteman Afb, MO 65305 Phone: 660-687-3554 |