| John Wakon Fowler, MD | |
|
203 Watson St Ste 200, Pratt, KS 67124-3092 | |
| (620) 672-7422 | |
| (620) 508-6476 |
| Full Name | John Wakon Fowler |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 203 Watson St Ste 200, Pratt, 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 |
|---|---|---|---|
| 1679577159 | NPI | - | NPPES |
| 100297620D | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0427026 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of Wichita | Wichita, KS | Home health agency |
| Interim Healthcare Of Wichita Inc (hospice) | Wichita, KS | Hospice |
| Pratt Regional Medical Center | Pratt, KS | Hospital |
| Stafford County Hospital | Stafford, KS | Hospital |
| Hilltop Manor Nursing Center | Cunningham, KS | Nursing home |
| Grand Plains Skilled Nursing By Americare | Pratt, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pratt Family Practice Llc | 6709824535 | 9 |
| Entity Name | Pratt Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740233204 PECOS PAC ID: 6709824535 Enrollment ID: O20050421000488 |
| Mailing Address | Practice Location Address |
|---|---|
| John Wakon Fowler, MD 20351 Se 20th Ave, Pratt, KS 67124-8145 Ph: (620) 672-7422 | John Wakon Fowler, MD 203 Watson St Ste 200, Pratt, KS 67124-3092 Ph: (620) 672-7422 |
William E Cannata, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Watson St, Ste 200, Pratt, KS 67124 Phone: 620-672-7422 Fax: 620-450-1601 | |
Hannah Vogt, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Watson St, Ste 200, Pratt, KS 67124 Phone: 620-672-7422 Fax: 855-881-8481 | |
Eric Ryan Clarkson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Watson St Ste 200, Pratt, KS 67124 Phone: 620-672-7422 Fax: 620-450-1601 |