| Elyse Ann Jablonski, PA-C | |
|
315 W 15th St, Liberal, KS 67901-2455 | |
| (620) 629-6477 | |
| (620) 629-6651 |
| Full Name | Elyse Ann Jablonski |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 315 W 15th St, Liberal, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548743636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1502133 (Kansas) | Primary |
| Entity Name | St. Joseph's Hospital and Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Elyse Ann Jablonski, PA-C 1684 S Logan Pass, Andover, KS 67002-7914 Ph: (316) 587-5334 | Elyse Ann Jablonski, PA-C 315 W 15th St, Liberal, KS 67901-2455 Ph: (620) 629-6477 |
Unnati Basnyat, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651 |
Lauren Taylor Boyce, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651 |
Livan Perez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-624-1651 |
Marlon S Bazan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651 |
Mr. Bereket T Woldemariam, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651 |
Mr. Bishal Bista, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651 |
Mr. Derick Ngufor Samafuhbi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651 |