| Thomas W Cloven, PA-C | |
|
3354 Highway 160, Independence, KS 67301-7841 | |
| (620) 331-1748 | |
| (620) 332-1951 |
| Full Name | Thomas W Cloven |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 3354 Highway 160, Independence, 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 |
|---|---|---|---|
| 1396833505 | NPI | - | NPPES |
| P00347392 | Other | RR MC | |
| 100385740B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-00720 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Home Health | Shawnee mission, KS | Home health agency |
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| University Of Kansas Hospital | Kansas city, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palmeri Family Medicine Associates Pa | 5496982779 | 7 |
| Entity Name | Palmeri Family Medicine Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326470097 PECOS PAC ID: 5496982779 Enrollment ID: O20131211001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Cloven, PA-C 3354 Highway 160, Independence, KS 67301-7841 Ph: (620) 331-1748 | Thomas W Cloven, PA-C 3354 Highway 160, Independence, KS 67301-7841 Ph: (620) 331-1748 |
Mallory E. Harris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 |
Mr. Derek Edward Wilson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281 |