| Dr Oswaldo Cruz Bacani Sr, MD | |
|
1525 Madison St Ste 3, Fredonia, KS 66736-1704 | |
| (620) 378-3700 | |
| (620) 378-3536 |
| Full Name | Dr Oswaldo Cruz Bacani Sr |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 56 Years |
| Location | 1525 Madison St Ste 3, Fredonia, 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 |
|---|---|---|---|
| 1467565879 | NPI | - | NPPES |
| 0000002897 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100087030-A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-17538 (Kansas) | Primary |
| 208600000X | Surgery | 04-17538 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fredonia Regional Hospital | Fredonia, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jennifer Bacani Mckenney, Md, Llc | 0749581262 | 5 |
| Fredonia Regional Hospital | 5294783270 | 11 |
| Entity Name | Fredonia Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285634006 PECOS PAC ID: 5294783270 Enrollment ID: O20050302000768 |
| Entity Name | Fredonia Regional Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285634006 PECOS PAC ID: 5294783270 Enrollment ID: O20061211000435 |
| Entity Name | Jennifer Bacani Mckenney, Md, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750754610 PECOS PAC ID: 0749581262 Enrollment ID: O20151229000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oswaldo Cruz Bacani Sr, MD Po Box 576, Fredonia, KS 66736-0576 Ph: (620) 378-3700 | Dr Oswaldo Cruz Bacani Sr, MD 1525 Madison St Ste 3, Fredonia, KS 66736-1704 Ph: (620) 378-3700 |
Jennifer Bacani Mckenney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Madison St, Suite 3, Fredonia, KS 66736 Phone: 630-378-3700 | |
Mr. James E Clay, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 Madison St, Suite 3, Fredonia, KS 66736 Phone: 620-378-3700 Fax: 620-378-3536 |