| El Dorado Clinic, P.a. | |
|
700 W Central Ave Ste 205 El Dorado KS 67042-2184 | |
| (316) 321-2010 | |
| (316) 321-8871 |
| Full Name | El Dorado Clinic, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 700 W Central Ave, El Dorado, Kansas |
| Authorized Official Name and Position | Cherrie T Kehler (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 3163218850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado Clinic, P.a. 700 W Central Ave Ste 205 El Dorado KS 67042-2184 Ph: (316) 321-2010 | El Dorado Clinic, P.a. 700 W Central Ave Ste 205 El Dorado KS 67042-2184 Ph: (316) 321-2010 |
| NPI Number | 1770559767 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 02/19/2010 |
| Medicare PECOS PAC ID | 7911944897 |
|---|---|
| Medicare Enrollment ID | O20050412000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770559767 | NPI | - | NPPES |
| 100213650A | Medicaid | KS | |
| 100213650B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Diane D Nightengale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265423149 PECOS PAC ID: 9931146487 Enrollment ID: I20050415000221 |
| Provider Name | Crystal D Faudere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083685291 PECOS PAC ID: 4981633179 Enrollment ID: I20050808001081 |
| Provider Name | Aubrey S Ralston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053706655 PECOS PAC ID: 2668780149 Enrollment ID: I20180925002676 |
| Provider Name | Lauren B Ferrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518345537 PECOS PAC ID: 2365755303 Enrollment ID: I20181107001309 |
Sba Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 W Central Ave, El Dorado, KS 67042 Phone: 316-321-3300 Fax: 316-321-4810 | |
Susan B. Allen Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 W Central Ave, El Dorado, KS 67042 Phone: 316-321-3300 Fax: 316-321-2916 | |
Alejandro A Vega Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W Central Ave, Suite 201, El Dorado, KS 67042 Phone: 316-321-2100 Fax: 316-321-0270 | |
El Dorado Sports & Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 W Central Ave, Suite 200, El Dorado, KS 67042 Phone: 316-320-9191 Fax: 316-320-2220 | |
Amy Seeber Md P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 W Central Ave, Suite 201, El Dorado, KS 67042 Phone: 316-321-2100 Fax: 316-321-0270 | |
Medicine And Nephrology Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W Central Ave Ste 206, El Dorado, KS 67042 Phone: 316-452-5455 Fax: 316-321-0503 | |
H. Richard Kuhns, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 W Central Ave, Suite 201, El Dorado, KS 67042 Phone: 316-321-2100 Fax: 316-321-0270 |