| Douglas Paul Simon, PA-C | |
|
106 Willow Rd, Goodland, KS 67735-1518 | |
| (785) 890-6075 | |
| (785) 890-6077 |
| Full Name | Douglas Paul Simon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 106 Willow Rd, Goodland, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023361128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-01575 (Kansas) | Primary |
| Entity Name | Pawnee Valley Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467569442 PECOS PAC ID: 7315856473 Enrollment ID: O20040614001374 |
| 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 | Hospital District No 6 of Harper County Kansas |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467427674 PECOS PAC ID: 3779571906 Enrollment ID: O20061104000426 |
| 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 | Pawnee Valley Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912310822 PECOS PAC ID: 7315856473 Enrollment ID: O20140624000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Paul Simon, PA-C 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-6075 | Douglas Paul Simon, PA-C 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-6075 |
Judith Marie Mago, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-4012 Fax: 785-890-6077 |
Mr. Jonathan Spellmeier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-6075 |