| Nchang Mantoh Azefor, MD | |
|
305 W 15th St Ste 204, Liberal, KS 67901 | |
| (620) 624-4946 | |
| (620) 624-2260 |
| Full Name | Nchang Mantoh Azefor |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 16 Years |
| Location | 305 W 15th St Ste 204, Liberal, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336375104 | NPI | - | NPPES |
| 200741890A | Medicaid | OK | |
| 201174830A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0440303 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fauquier Hospital | Warrenton, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fauquier Physician Practices Llc | 6406083104 | 43 |
| Entity Name | Wythe County Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780630327 PECOS PAC ID: 7517972789 Enrollment ID: O20060209000451 |
| Entity Name | Fauquier Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770916983 PECOS PAC ID: 6406083104 Enrollment ID: O20131227001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Nchang Mantoh Azefor, MD Po Box 1215, Liberal, KS 67905-1215 Ph: (620) 629-3338 | Nchang Mantoh Azefor, MD 305 W 15th St Ste 204, Liberal, KS 67901 Ph: (620) 624-4946 |
Dr. Jose A. Maeda, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St, Suite 204, Liberal, KS 67901 Phone: 620-624-4946 Fax: 620-624-2260 | |
Dr. Timothy Daniel Barron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St Ste 204, Liberal, KS 67901 Phone: 206-244-9466 Fax: 620-624-2260 | |
Dr. Mona A Rane, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 109 E. 11th Street, Liberal, KS 67901 Phone: 620-624-8500 Fax: 620-624-8510 | |
Dr. Peter Phan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St Ste 204, Liberal, KS 67901 Phone: 620-624-4946 Fax: 620-624-2260 |