| John Shellito Jr, MD | |
|
1947 Founders St, Wichita, KS 67206-3548 | |
| (316) 689-9124 | |
| (316) 613-4608 |
| Full Name | John Shellito Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 47 Years |
| Location | 1947 Founders St, 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 |
|---|---|---|---|
| 1720019151 | NPI | - | NPPES |
| 836 | Other | KS | PHS |
| 12149403 | Other | KS | MULTIPLAN |
| 200152 | Other | KS | HPK |
| 003429 | Other | KS | BCBS |
| 100147290C | Medicaid | KS | |
| 16923 | Other | KS | COVENTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 20502 (Kansas) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 20502 (Kansas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Via Christi Pa | 2961314497 | 162 |
| Entity Name | Ascension Medical Group Via Christi Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063453991 PECOS PAC ID: 2961314497 Enrollment ID: O20031104000089 |
| Mailing Address | Practice Location Address |
|---|---|
| John Shellito Jr, MD Po Box 8035, Wichita, KS 67208-0035 Ph: (316) 689-9135 | John Shellito Jr, MD 1947 Founders St, Wichita, KS 67206-3548 Ph: (316) 689-9124 |
Sarah Corn, Surgery Medicare: Accepting Medicare Assignments Practice Location: 818 N Emporia St Ste 200, Wichita, KS 67214 Phone: 316-263-0296 | |
Bradon Bitter, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
David C. Grantham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 818 N Emporia St Ste 200, Wichita, KS 67214 Phone: 316-263-0246 Fax: 316-263-9523 | |
Muriel Lund, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Dr. Duane L Osborne, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 818 N Emporia St, Suite 200, Wichita, KS 67214 Phone: 316-263-0296 Fax: 316-263-9523 | |
Dr. Therese Elizabeth Cusick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 551 N Hillside St Ste 201, Wichita, KS 67214 Phone: 316-263-0296 Fax: 316-263-9523 | |
Dr. Eric Edward Burns, DO Surgery Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 |