| Tara Katz, DO | |
|
612 N Andover Rd, Andover, KS 67002-9778 | |
| (316) 733-6618 | |
| (316) 733-5299 |
| Full Name | Tara Katz |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 612 N Andover Rd, Andover, 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 |
|---|---|---|---|
| 1386962215 | NPI | - | NPPES |
| 201072060A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-36048 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Wichita, KS | Home health agency |
| Susan B Allen Memorial Hospital | El dorado, KS | Hospital |
| Via Christi Hospital-wichita | Wichita, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Via Christi Pa | 2961314497 | 162 |
| Entity Name | Ascension Medical Group Via Christi Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063453991 PECOS PAC ID: 2961314497 Enrollment ID: O20031104000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Katz, DO 612 N Andover Rd, Andover, KS 67002-9778 Ph: (316) 733-6618 | Tara Katz, DO 612 N Andover Rd, Andover, KS 67002-9778 Ph: (316) 733-6618 |
Derek Surdez, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 S Andover Rd, Andover, KS 67002 Phone: 316-330-2773 | |
Matthew G Meschke, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2117 Keystone Cir, Andover, KS 67002 Phone: 316-733-5120 Fax: 316-733-1280 | |
Dr. James Marshall Hartley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 524 N Andover Rd, Andover, KS 67002 Phone: 316-733-3002 Fax: 316-733-1240 | |
Micah Hall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2117 Keystone Cir, Andover, KS 67002 Phone: 316-733-5120 Fax: 316-733-1280 | |
Michael Wilson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 N Andover Rd, Andover, KS 67002 Phone: 316-733-6618 Fax: 316-733-5299 | |
Candi S Nigh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 524 N Andover Rd, Andover, KS 67002 Phone: 316-733-0716 Fax: 316-733-6997 | |
Mitzi M Bales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2117 Keystone Cir, Andover, KS 67002 Phone: 316-733-5120 Fax: 316-733-1280 |