| Dr Paul D Ullom-minnich, MD | |
|
200 East Pack, Moundridge, KS 67107-0640 | |
| (620) 345-6322 | |
| (620) 345-3038 |
| Full Name | Dr Paul D Ullom-minnich |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 200 East Pack, Moundridge, 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 |
|---|---|---|---|
| 1326043241 | NPI | - | NPPES |
| 460681 | Medicaid | KS | |
| 049110 | Other | KS | BLUE CROSS/BLUE SHIELD |
| 2806 | Other | KS | PREFERRED HEALTH SYSTEMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0425280 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newton Medical Center Home Health Agency | Newton, KS | Home health agency |
| Mcpherson Hospital | Mcpherson, KS | Hospital |
| Newton Medical Center | Newton, KS | Hospital |
| Pleasant View Home | Inman, KS | Nursing home |
| Moundridge Manor | Moundridge, KS | Nursing home |
| Pine Village | Moundridge, KS | Nursing home |
| The Cedars | Mcpherson, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Partners In Family Care Llc | 2961493242 | 8 |
| Entity Name | Partners In Family Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417923780 PECOS PAC ID: 2961493242 Enrollment ID: O20040524001335 |
| Entity Name | Mercy Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083628911 PECOS PAC ID: 9436163474 Enrollment ID: O20211209000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul D Ullom-minnich, MD 200 East Pack, Moundridge, KS 67107-0640 Ph: (620) 345-6322 | Dr Paul D Ullom-minnich, MD 200 East Pack, Moundridge, KS 67107-0640 Ph: (620) 345-6322 |
Olivia Gehring, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Pack St, Moundridge, KS 67107 Phone: 620-345-6322 Fax: 620-345-6419 | |
Dr. Marla R Ullom-minnich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 East Pack, Moundridge, KS 67107 Phone: 620-345-6322 Fax: 620-345-3038 | |
Kathryn R Hayes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 East Pack, Moundridge, KS 67107 Phone: 620-345-6322 Fax: 620-345-3038 | |
Dr. James D Ratzlaff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 East Pack, Moundridge, KS 67107 Phone: 620-345-6322 Fax: 620-345-3038 |