| Kevin Hamm, DO,PA | |
|
629 S Plummer Ave, Chanute, KS 66720-1928 | |
| (316) 755-0482 | |
| (316) 755-0458 |
| Full Name | Kevin Hamm |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 629 S Plummer Ave, Chanute, 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 |
|---|---|---|---|
| 1578657623 | NPI | - | NPPES |
| 48-1235274 | Other | KS | TAX ID # |
| 05-26968 | Other | KS | LISCENSE |
| 100297360C | Medicaid | KS | |
| 058849 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 05-26968 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Neosho Memorial Regional Medical Center | Chanute, KS | Hospital |
| Kiowa District Hospital | Kiowa, KS | Hospital |
| Medicine Lodge Memorial Hospital | Medicine lodge, KS | Hospital |
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Entity Name | Sumner County Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215094438 PECOS PAC ID: 6103925268 Enrollment ID: O20080926000428 |
| Entity Name | Kevin Hamm Do Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801150503 PECOS PAC ID: 5193972040 Enrollment ID: O20120828000438 |
| Entity Name | Diagnostic Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427049956 PECOS PAC ID: 8820083645 Enrollment ID: O20170516002124 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Hamm, DO,PA Po Box 397, Valley Center, KS 67147-0397 Ph: (316) 755-0482 | Kevin Hamm, DO,PA 629 S Plummer Ave, Chanute, KS 66720-1928 Ph: (316) 755-0482 |
Mark Witaczack, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 629 S Plummer, Chanute, KS 66720 Phone: 316-321-5900 Fax: 316-321-4763 |