| Paulo R De Andrade, MD | |
|
320 N 13th St, Wakeeney, KS 67672-2002 | |
| (785) 743-2182 | |
| (785) 743-6317 |
| Full Name | Paulo R De Andrade |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 320 N 13th St, Wakeeney, 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 |
|---|---|---|---|
| 1861783490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P4153 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 28015 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 04-36496 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of Dodge City | Wa keeney, KS | Home health agency |
| Good Sam Society Home Health Of Central Ks | Hays, KS | Home health agency |
| Hospice Services Inc | Phillipsburg, KS | Hospice |
| Trego County Lemke Memorial Hospital | Wa keeney, KS | Hospital |
| Hays Medical Center | Hays, KS | Hospital |
| Graham County Hospital | Hill city, KS | Hospital |
| Good Samaritan Society - Ellis | Ellis, KS | Nursing home |
| Good Samaritan Society - Hays | Hays, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trego County Lemke Memorial Hospital | 6103735717 | 18 |
| Entity Name | Trego County Lemke Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275614059 PECOS PAC ID: 6103735717 Enrollment ID: O20040826001323 |
| Mailing Address | Practice Location Address |
|---|---|
| Paulo R De Andrade, MD 320 N 13th St, Wakeeney, KS 67672-2002 Ph: (785) 743-2182 | Paulo R De Andrade, MD 320 N 13th St, Wakeeney, KS 67672-2002 Ph: (785) 743-2182 |