| Dedra Rathgeber, NP-C | |
|
1002 S 4th St, Kiowa, KS 67070-1825 | |
| (620) 825-4131 | |
| Not Available |
| Full Name | Dedra Rathgeber |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1002 S 4th St, Kiowa, 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 |
|---|---|---|---|
| 1902488505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | TMP-160001 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-80168 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kiowa District Hospital | Kiowa, KS | Hospital |
| Ashland Health Center | Ashland, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ashland District Hospital | 6800849324 | 10 |
| Kiowa District Hospital | 8325020670 | 5 |
| Entity Name | Kiowa District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619960101 PECOS PAC ID: 8325020670 Enrollment ID: O20041130000965 |
| Entity Name | Ashland District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073686002 PECOS PAC ID: 6800849324 Enrollment ID: O20050228000908 |
| Entity Name | Kiowa District Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1437152766 PECOS PAC ID: 8325020670 Enrollment ID: O20061104000312 |
| Entity Name | Ashland District Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1265529614 PECOS PAC ID: 6800849324 Enrollment ID: O20061104000460 |
| Entity Name | Kiowa District Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154314656 PECOS PAC ID: 8325020670 Enrollment ID: O20070228000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Dedra Rathgeber, NP-C 502 N Madison Ave, Anthony, KS 67003-2234 Ph: (620) 517-0233 | Dedra Rathgeber, NP-C 1002 S 4th St, Kiowa, KS 67070-1825 Ph: (620) 825-4131 |
Jennifer Ann Westerman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 S 4th St, Kiowa, KS 67070 Phone: 620-825-4131 |