| Jennifer Bacani Mckenney, Md, Llc | |
|
1525 Madison St Suite 3 Fredonia KS 66736-1703 | |
| (620) 378-3700 | |
| Not Available |
| Full Name | Jennifer Bacani Mckenney, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1525 Madison St, Fredonia, Kansas |
| Authorized Official Name and Position | Jennifer Bacani Mckenney (OWNER) |
| Authorized Official Contact | 6203783700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Bacani Mckenney, Md, Llc 1525 Madison St Suite 3 Fredonia KS 66736-1703 Ph: (620) 378-3700 | Jennifer Bacani Mckenney, Md, Llc 1525 Madison St Suite 3 Fredonia KS 66736-1703 Ph: (620) 378-3700 |
| NPI Number | 1750754610 |
|---|---|
| Provider Enumeration Date | 11/01/2015 |
| Last Update Date | 11/01/2015 |
| Medicare PECOS PAC ID | 0749581262 |
|---|---|
| Medicare Enrollment ID | O20151229000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750754610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0432682 (Kansas) | Primary |
| Provider Name | Oswaldo C Bacani |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467565879 PECOS PAC ID: 3779539655 Enrollment ID: I20050323001118 |
| Provider Name | Jennifer Bacani Mckenney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689893448 PECOS PAC ID: 8123117298 Enrollment ID: I20071128000206 |
| Provider Name | Jennifer R Eagleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710350756 PECOS PAC ID: 2466754106 Enrollment ID: I20160112001590 |
| Provider Name | Ashley J Houser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013399773 PECOS PAC ID: 2062726110 Enrollment ID: I20170106000085 |
| Provider Name | Lacey D Spohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730607599 PECOS PAC ID: 8921374893 Enrollment ID: I20171019002987 |
| Provider Name | Kyle K Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831682293 PECOS PAC ID: 1153670682 Enrollment ID: I20200304002396 |
Ambrosio P Mendiola Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Madison St, Suite 3, Fredonia, KS 66736 Phone: 620-378-3700 Fax: 620-378-3536 | |
Drs. Morris & Hill Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1525 Madison St, Suite 2, Fredonia, KS 66736 Phone: 620-378-2068 Fax: 620-378-2312 | |
Fredonia Regional Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Madison St Ste 2, Fredonia, KS 66736 Phone: 620-378-2068 Fax: 620-378-2312 |