| Beloit Medical Center, P.a. | |
| 
					1005 N Lincoln Ave Beloit KS 67420-1215  | |
| (785) 738-2246 | |
| (785) 738-4303 | 
| Full Name | Beloit Medical Center, P.a. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1005 N Lincoln Ave, Beloit, Kansas | 
| Authorized Official Name and Position | Craig Alan Concannon (SECRETARY/TREASURER) | 
| Authorized Official Contact | 7857382246 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Beloit Medical Center, P.a. Po Box 587 Beloit KS 67420-0587 Ph: (785) 738-2246  | Beloit Medical Center, P.a. 1005 N Lincoln Ave Beloit KS 67420-1215 Ph: (785) 738-2246  | 
| NPI Number | 1134176704 | 
|---|---|
| Provider Enumeration Date | 05/28/2006 | 
| Last Update Date | 07/27/2021 | 
| Medicare PECOS PAC ID | 5496655169 | 
|---|---|
| Medicare Enrollment ID | O20040109000632 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134176704 | NPI | - | NPPES | 
| 003910 | Other | KS | KS. BLUE SHIELD | 
| 100088300A | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary | 
| 208600000X | Surgery | (* (Not Available)) | Secondary | 
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Carl L Fugate | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1326017013 PECOS PAC ID: 7517904113 Enrollment ID: I20050414001031  | 
| Provider Name | Craig A Concannon | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1891764676 PECOS PAC ID: 5193625861 Enrollment ID: I20050513000431  | 
| Provider Name | Christine M Marozas | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1285603977 PECOS PAC ID: 2062456908 Enrollment ID: I20050613000547  | 
| Provider Name | Jason A Cheney | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1275750325 PECOS PAC ID: 7719051911 Enrollment ID: I20080806000546  | 
| Provider Name | Kerri Lynn Adams | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962471235 PECOS PAC ID: 3072643840 Enrollment ID: I20100605000193  | 
| Provider Name | Mark Edward Banker | 
|---|---|
| Provider Type | Practitioner - General Surgery | 
| Provider Identifiers | NPI Number: 1811288160 PECOS PAC ID: 8527353705 Enrollment ID: I20160826001701  | 
| Provider Name | Mariah L Crumbaker | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1225327539 PECOS PAC ID: 6204058084 Enrollment ID: I20160826002388  | 
| Provider Name | Jessica Ann Hawkins | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1841862901 PECOS PAC ID: 8527461862 Enrollment ID: I20210726000302  | 
| Provider Name | Kendra Lanae True | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1790394294 PECOS PAC ID: 9436531233 Enrollment ID: I20220726002145  | 
| Provider Name | Brady S True | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497485593 PECOS PAC ID: 6305228537 Enrollment ID: I20220803003338  | 
| Provider Name | Melinda M Vankooten | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1730814930 PECOS PAC ID: 0547644114 Enrollment ID: I20220831000244  | 
| Provider Name | Olivia C You | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1093381824 PECOS PAC ID: 4082018205 Enrollment ID: I20240722002672  | 
Solomon Valley Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Pine St, Beloit, KS 67420 Phone: 785-342-0994  | |
Usd 273 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 North Independence, Beloit, KS 67420 Phone: 785-738-3261 Fax: 785-738-4103  |