Tyler J Shriver, DO | |
205 S Hanover St, Hanover, KS 66945-8924 | |
(785) 337-2214 | |
(785) 337-2727 |
Full Name | Tyler J Shriver |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 205 S Hanover St, Hanover, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952975971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | PENDING (Kansas) | Primary |
Entity Name | Hanover Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1285635425 PECOS PAC ID: 6709892078 Enrollment ID: O20061104000656 |
Entity Name | Hanover Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457843302 PECOS PAC ID: 6709892078 Enrollment ID: O20190129002251 |
Mailing Address | Practice Location Address |
---|---|
Tyler J Shriver, DO 205 S Hanover St, Hanover, KS 66945-8924 Ph: (785) 337-2214 | Tyler J Shriver, DO 205 S Hanover St, Hanover, KS 66945-8924 Ph: (785) 337-2214 |
Linda Duston Warren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Hanover St, Hanover, KS 66945 Phone: 785-337-2214 Fax: 785-337-2727 | |
Roger Drury Warren, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 S Hanover St, Hanover, KS 66945 Phone: 785-337-2214 Fax: 785-337-2727 |