| Dr Timothy M Gronlie, MD | |
|
550 N Hillside, Wichita, KS 67214-4910 | |
| (316) 962-2900 | |
| (316) 962-7815 |
| Full Name | Dr Timothy M Gronlie |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 550 N Hillside, Wichita, 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 |
|---|---|---|---|
| 1720007404 | NPI | - | NPPES |
| 200385940C | Medicaid | KS | |
| 105646 | Other | KS | BCBS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wesley Medical Center | Wichita, KS | Hospital |
| Hutchinson Regional Medical Center Inc | Hutchinson, KS | Hospital |
| Coffey County Hospital | Burlington, KS | Hospital |
| William Newton Hospital | Winfield, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hutchinson Regional Medical Center Inc | 0648181198 | 122 |
| Wichita Radiological Group Prof Assoc | 6507762960 | 26 |
| Entity Name | Wichita Radiological Group Prof Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144256447 PECOS PAC ID: 6507762960 Enrollment ID: O20031208001045 |
| Entity Name | Hutchinson Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972605285 PECOS PAC ID: 0648181198 Enrollment ID: O20040119000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy M Gronlie, MD 551 N. Hillside, Suite 320, Wichita, KS 67214-4926 Ph: (316) 685-1367 | Dr Timothy M Gronlie, MD 550 N Hillside, Wichita, KS 67214-4910 Ph: (316) 962-2900 |
Dr. Larry C Graham Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-689-5050 Fax: 316-689-6192 | |
Tim Edward Stone, Radiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Dr. Donald C S Tan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 817 N Emporia St, Via Christi Cancer Center, Wichita, KS 67214 Phone: 316-268-5927 | |
Dr. Joshua Dale Buchtel, MD Radiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2699 | |
Elizabeth Perez-elmore, RN BSN Radiology Medicare: Not Enrolled in Medicare Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-685-2221 | |
Mike Lam, DO Radiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2635 | |
Dr. Timothy C Benning, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-689-6173 |