| Marlon S Bazan, PA-C | |
|
315 W 15th St, Liberal, KS 67901-2455 | |
| (620) 629-6477 | |
| (620) 629-6651 |
| Full Name | Marlon S Bazan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 315 W 15th St, Liberal, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306329438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1502129 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyoming Medical Center | Casper, WY | Hospital |
| Lompoc Valley Medical Center | Lompoc, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Of Wyoming Llc | 8325214828 | 43 |
| Summit Hospitalist Group Llc | 8527445824 | 49 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlon S Bazan, PA-C Po Box 1340, Liberal, KS 67905-1340 Ph: (620) 629-6638 | Marlon S Bazan, 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 | |
Elyse Ann Jablonski, PA-C Physician Assistant Medicare: Medicare Enrolled 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 |