| Kyle Wells, | |
|
600 E 20th St, Eudora, KS 66025-7800 | |
| (785) 505-2345 | |
| (785) 505-5271 |
| Full Name | Kyle Wells |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 600 E 20th St, Eudora, 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 |
|---|---|---|---|
| 1831682293 | NPI | - | NPPES |
| 30004649200002 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-42638 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Town Health Care Llc | Fredonia, KS | Home health agency |
| Fredonia Regional Hospital | Fredonia, KS | Hospital |
| Lawrence Memorial Hospital | Lawrence, KS | Hospital |
| Labette Health | Parsons, KS | Hospital |
| Wilson Medical Center | Neodesha, KS | Hospital |
| Neosho Memorial Regional Medical Center | Chanute, KS | Hospital |
| Neodesha Care And Rehab | Neodesha, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jennifer Bacani Mckenney, Md, Llc | 0749581262 | 6 |
| Fredonia Regional Hospital | 5294783270 | 10 |
| Entity Name | Fredonia Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285634006 PECOS PAC ID: 5294783270 Enrollment ID: O20050302000768 |
| Entity Name | Fredonia Regional Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285634006 PECOS PAC ID: 5294783270 Enrollment ID: O20061211000435 |
| Entity Name | Jennifer Bacani Mckenney, Md, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750754610 PECOS PAC ID: 0749581262 Enrollment ID: O20151229000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Wells, 600 E 20th St, Eudora, KS 66025-7800 Ph: (785) 505-2345 | Kyle Wells, 600 E 20th St, Eudora, KS 66025-7800 Ph: (785) 505-2345 |
Joseph H Hawkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 E 20th St Ste 200, Eudora, KS 66025 Phone: 785-542-2345 Fax: 785-542-2109 | |
Dr. Elizabeth Audrey Stamper, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 E 20th St, Suite 200, Eudora, KS 66025 Phone: 785-542-2345 Fax: 785-542-1239 |