| Dr Travis M Daise, MD | |
|
106 Willow Rd, Goodland, KS 67735-1518 | |
| (785) 890-6075 | |
| (785) 890-6077 |
| Full Name | Dr Travis M Daise |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 106 Willow Rd, Goodland, 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 |
|---|---|---|---|
| 1184621997 | NPI | - | NPPES |
| 1184621997 | Other | KS | BCBS |
| 200180020B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-29442 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Society Northwest Kansas Home Care | St francis, KS | Home health agency |
| L & C Home Health Agency Inc | Colby, KS | Home health agency |
| Hospice Services Inc | Phillipsburg, KS | Hospice |
| Goodland Regional Medical Center | Goodland, KS | Hospital |
| Kit Carson County Memorial Hospital | Burlington, CO | Hospital |
| Rawlins County Health Center | Atwood, KS | Hospital |
| Cheyenne County Hospital | St francis, KS | Hospital |
| Citizens Medical Center | Colby, KS | Hospital |
| Topside Manor Inc | Goodland, KS | Nursing home |
| Grace Manor Care Center | Burlington, CO | Nursing home |
| Good Samaritan Society - Atwood | Atwood, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goodland Regional Medical Center | 3375535263 | 19 |
| Rawlins County Health Center | 4688585151 | 8 |
| Entity Name | Goodland Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447392451 PECOS PAC ID: 3375535263 Enrollment ID: O20040630000059 |
| Entity Name | Rawlins County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306883046 PECOS PAC ID: 4688585151 Enrollment ID: O20040728001037 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Travis M Daise, MD 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-6075 | Dr Travis M Daise, MD 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-6075 |
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 | |
Dr. Mohedine Shafei, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-6075 Fax: 785-890-6077 |