| Dr Peter Phan, MD | |
|
305 W 15th St Ste 204, Liberal, KS 67901-2455 | |
| (620) 624-4946 | |
| (620) 624-2260 |
| Full Name | Dr Peter Phan |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 305 W 15th St Ste 204, Liberal, 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 |
|---|---|---|---|
| 1851564462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0438080 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Medical Center | Liberal, KS | Hospital |
| Satanta District Hospital | Satanta, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Satanta District Hospital And Long-term Care | 5991616054 | 9 |
| Southwest Medical Center | 7517941651 | 35 |
| Entity Name | Satanta District Hospital And Long-term Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144312844 PECOS PAC ID: 5991616054 Enrollment ID: O20040311001369 |
| Entity Name | Southwest Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144493040 PECOS PAC ID: 7517941651 Enrollment ID: O20040805001105 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Phan, MD 305 W 15th St Ste 204, Liberal, KS 67901-2455 Ph: (620) 629-6739 | Dr Peter Phan, MD 305 W 15th St Ste 204, Liberal, KS 67901-2455 Ph: (620) 624-4946 |
Dr. Jose A. Maeda, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St, Suite 204, Liberal, KS 67901 Phone: 620-624-4946 Fax: 620-624-2260 | |
Nchang Mantoh Azefor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St Ste 204, Liberal, KS 67901 Phone: 620-624-4946 Fax: 620-624-2260 | |
Dr. Timothy Daniel Barron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St Ste 204, Liberal, KS 67901 Phone: 206-244-9466 Fax: 620-624-2260 | |
Dr. Mona A Rane, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 109 E. 11th Street, Liberal, KS 67901 Phone: 620-624-8500 Fax: 620-624-8510 |