| Elijah White, | |
|
1051 S Clifton Ave, Wichita, KS 67218-2910 | |
| (316) 305-5992 | |
| Not Available |
| Full Name | Elijah White |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1051 S Clifton Ave, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396305546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-02265 (Kansas) | Secondary |
| 363A00000X | Physician Assistant | PA13621 (Texas) | Primary |
| Entity Name | University of Texas Southwestern Medical Center at Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Travis County Emergency Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah White, 1051 S Clifton Ave, Wichita, KS 67218-2910 Ph: (316) 305-5992 | Elijah White, 1051 S Clifton Ave, Wichita, KS 67218-2910 Ph: (316) 305-5992 |
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 |