| Kadriye Ann Landis, PA-C | |
|
1000 Hospital Dr, Kingfisher, OK 73750-5029 | |
| (405) 375-3141 | |
| Not Available |
| Full Name | Kadriye Ann Landis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1000 Hospital Dr, Kingfisher, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285408146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5113 (Oklahoma) | Primary |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | South Central Emergency Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20111111000638 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Entity Name | Mercy Hospital Watonga Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497017529 PECOS PAC ID: 6305002759 Enrollment ID: O20130618000016 |
| Entity Name | Mercy Hospital Kingfisher, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083048417 PECOS PAC ID: 5395970180 Enrollment ID: O20131104000084 |
| Entity Name | Mercy Hospital Watonga Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1497017529 PECOS PAC ID: 6305002759 Enrollment ID: O20140110000184 |
| Entity Name | Mercy Hospital Kingfisher, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1285064618 PECOS PAC ID: 5395970180 Enrollment ID: O20140416000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Kadriye Ann Landis, PA-C 1000 Hospital Dr, Kingfisher, OK 73750-5029 Ph: Not Available | Kadriye Ann Landis, PA-C 1000 Hospital Dr, Kingfisher, OK 73750-5029 Ph: (405) 375-3141 |
James Cameron Hogan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 West Bowman, Kingfisher, OK 73750 Phone: 405-375-7935 Fax: 405-948-6507 |
Richard D Hanes, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150 Phone: 405-375-7847 |
Bridget A. Keast, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1002 Hospital Drive, Kingfisher, OK 73750 Phone: 405-375-6355 Fax: 405-375-6374 |