| Mr Roger J Bidwell, ARNP | |
|
21107 Donahoo Rd, Tonganoxie, KS 66086-4153 | |
| (913) 742-4084 | |
| (913) 742-4086 |
| Full Name | Mr Roger J Bidwell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 21107 Donahoo Rd, Tonganoxie, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669425385 | NPI | - | NPPES |
| 26279011 | Other | BC/BS | |
| 100347550A | Medicaid | KS | |
| 500008410 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 44815 (Kansas) | Primary |
| 363L00000X | Nurse Practitioner | 128639 (Missouri) | Secondary |
| Entity Name | Mid America Senior Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942356977 PECOS PAC ID: 6406827435 Enrollment ID: O20050707000856 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151112002441 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Roger J Bidwell, ARNP 21107 Donahoo Rd, Po Box 996, Tonganoxie, KS 66086-4153 Ph: (913) 742-4084 | Mr Roger J Bidwell, ARNP 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 Ph: (913) 742-4084 |
Mr. Fletcher M. M. Schubert, APRN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 4th Street, Tonganoxie, KS 66086 Phone: 913-335-0152 | |
Rebecca Steffey, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 Woodfield Dr, Tonganoxie, KS 66086 Phone: 785-505-5400 Fax: 785-505-5272 | |
Lorelei M Sunderland, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Woodfield Dr, Tonganoxie, KS 66086 Phone: 785-505-5400 Fax: 785-505-5272 | |
Kimberly M Buckley, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21107 Donahoo Rd, Tonganoxie, KS 66086 Phone: 913-742-4084 Fax: 913-742-4086 | |
Timothy Badger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21107 Donahoo Rd, Tonganoxie, KS 66086 Phone: 913-742-4084 Fax: 913-742-4086 | |
Raquel Atwood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18275 182nd St, Tonganoxie, KS 66086 Phone: 913-626-2579 |