| Benjamin John Lagaly, PA-C | |
|
6401 W 34th St N, Wichita, KS 67205-2542 | |
| (316) 312-4374 | |
| Not Available |
| Full Name | Benjamin John Lagaly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 6401 W 34th St N, Wichita, 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 |
|---|---|---|---|
| 1932767332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-02275 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Junction city, KS | Hospital |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | Hospital |
| Clay County Medical Center | Clay center, KS | Hospital |
| Community Memorial Healthcare, Inc | Marysville, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cotton-o'neil Clinic Revocable Trust | 5496659195 | 659 |
| Entity Name | Cotton-o'neil Clinic Revocable Trust |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944457 PECOS PAC ID: 5496659195 Enrollment ID: O20031124000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin John Lagaly, PA-C 6401 W 34th St N, Wichita, KS 67205-2542 Ph: (316) 312-4374 | Benjamin John Lagaly, PA-C 6401 W 34th St N, Wichita, KS 67205-2542 Ph: (316) 312-4374 |
George M Schroeder, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 324 N Emporia Ave Apt 703, Wichita, KS 67202 Phone: 615-440-2526 |
Lauren A Holmes, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 |
Chamil Fernando, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3417 S Meridian Ave, Wichita, KS 67217 Phone: 316-866-2078 |
Eric F Flores, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2239 Fax: 316-962-7334 |
Kristen Wolf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 N Woodlawn St, Wichita, KS 67220 Phone: 316-260-1690 Fax: 316-260-1691 |
Mrs. Sung Un E Hall, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4558 Fax: 316-609-4599 |
Audrey Eileen Griffin, PA (PHYSICIAN ASSIST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2239 |