| Fredrick J Farmer Iii, DO | |
|
609 E 1st, St. John, KS 67576 | |
| (620) 549-3251 | |
| (855) 332-0469 |
| Full Name | Fredrick J Farmer Iii |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 47 Years |
| Location | 609 E 1st, St. John, 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 |
|---|---|---|---|
| 1174612105 | NPI | - | NPPES |
| 100229660B | Medicaid | KS | |
| 103006 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0518773 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of The Prairie | Dodge city, KS | Home health agency |
| Edwards County Hospital | Kinsley, KS | Hospital |
| Stafford County Hospital | Stafford, KS | Hospital |
| Kiowa County Memorial Hospital | Greensburg, KS | Hospital |
| Pratt Regional Medical Center | Pratt, KS | Hospital |
| Pawnee Valley Community Hospital | Larned, KS | Hospital |
| Leisure Homestead At Stafford | Stafford, KS | Nursing home |
| Medicalodges Kinsley | Kinsley, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edwards County Hospital And Healthcare Center | 2264343383 | 6 |
| Entity Name | Edwards County Hospital And Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649372012 PECOS PAC ID: 2264343383 Enrollment ID: O20040305000254 |
| Entity Name | Edwards County Hospital And Healthcare Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1851403869 PECOS PAC ID: 2264343383 Enrollment ID: O20061104000192 |
| Entity Name | Edwards County Hospital And Healthcare Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912009382 PECOS PAC ID: 2264343383 Enrollment ID: O20061227000144 |
| Entity Name | Kiowa County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952406514 PECOS PAC ID: 9638589369 Enrollment ID: O20201211000536 |
| Entity Name | Kiowa County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1942309166 PECOS PAC ID: 9638589369 Enrollment ID: O20201211000779 |
| Entity Name | Kiowa County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063009819 PECOS PAC ID: 9638589369 Enrollment ID: O20210223001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Fredrick J Farmer Iii, DO 609 E 1st, St. John, KS 67576 Ph: (620) 549-3251 | Fredrick J Farmer Iii, DO 609 E 1st, St. John, KS 67576 Ph: (620) 549-3251 |