| Mr Mark A Basham, MD | |
|
110 E 16th St, Eureka, KS 67045-1067 | |
| (620) 583-7451 | |
| (620) 583-6702 |
| Full Name | Mr Mark A Basham |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 110 E 16th St, Eureka, 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 |
|---|---|---|---|
| 1255326443 | NPI | - | NPPES |
| 100362190B | Medicaid | KS | |
| 100428860A | Other | GROUP MEDICAID | |
| 178960 | Other | RURAL HEALTH MEDICARE | |
| 640311 | Other | F. GUARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0428069 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greenwood County Hospital Hha | Eureka, KS | Home health agency |
| Good Shepherd Hospice | Wichita, KS | Hospice |
| Hand In Hand Hospice | Emporia, KS | Hospice |
| Greenwood County Hospital | Eureka, KS | Hospital |
| Susan B Allen Memorial Hospital | El dorado, KS | Hospital |
| Eureka Nursing Center | Eureka, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greenwood County Hospital | 0042129603 | 29 |
| Entity Name | Greenwood County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629044961 PECOS PAC ID: 0042129603 Enrollment ID: O20040920000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark A Basham, MD 110 E 16th St, Eureka, KS 67045-1067 Ph: (620) 583-7451 | Mr Mark A Basham, MD 110 E 16th St, Eureka, KS 67045-1067 Ph: (620) 583-7451 |
Michael D Mcclintick, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 N Elm St, Eureka, KS 67045 Phone: 620-583-7436 Fax: 620-583-6848 |