Dr Mohedine Shafei, MD | |
106 Willow Rd, Goodland, KS 67735-1518 | |
(785) 890-6075 | |
(785) 890-6077 |
Full Name | Dr Mohedine Shafei |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 106 Willow Rd, Goodland, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770580425 | NPI | - | NPPES |
100147300B | Medicaid | KS | |
645460 | Other | KS | FIRSTGUARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04-24613 (Kansas) | Primary |
Entity Name | Rural Kansas Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649541046 PECOS PAC ID: 8921269481 Enrollment ID: O20120411000219 |
Entity Name | Innova Emergency Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20240106000323 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohedine Shafei, MD 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-6075 | Dr Mohedine Shafei, MD 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-6075 |
Dr. Travis M Daise, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-6075 Fax: 785-890-6077 | |
Kali Rubenthaler-brunkhardt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-4012 Fax: 785-890-6077 |