| Raul Lastimosa, MD | |
|
411 Sunset St, Elkhart, KS 67950-5001 | |
| (620) 697-2175 | |
| (620) 697-5697 |
| Full Name | Raul Lastimosa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 43 Years |
| Location | 411 Sunset St, Elkhart, 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 |
|---|---|---|---|
| 1205244092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0439836 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Canadian Valley Hospital | Yukon, OK | Hospital |
| Western Plains Medical Complex | Dodge city, KS | Hospital |
| Stafford County Hospital | Stafford, KS | Hospital |
| Hamilton County Hospital | Syracuse, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vigilias Llc | 9133433279 | 40 |
| Midwest Hospital Medicine Associates Pc | 4880841618 | 15 |
| Entity Name | Vigilias Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407242241 PECOS PAC ID: 9133433279 Enrollment ID: O20150803000538 |
| Entity Name | Kansas Hospitalist Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497255418 PECOS PAC ID: 6103171160 Enrollment ID: O20180614001581 |
| Mailing Address | Practice Location Address |
|---|---|
| Raul Lastimosa, MD 888 Grand Concourse, Bronx, NY 10451-2802 Ph: () - | Raul Lastimosa, MD 411 Sunset St, Elkhart, KS 67950-5001 Ph: (620) 697-2175 |
Dr. Manuel Lagria Caga-anan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 411 Sunset Dr, Elkhart, KS 67950 Phone: 620-697-2175 Fax: 620-697-2185 |