| Midland Care Physician Services Llc | |
|
200 Sw Frazier Cir Topeka KS 66606-2800 | |
| (785) 232-2044 | |
| (785) 232-5567 |
| Full Name | Midland Care Physician Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Sw Frazier Cir, Topeka, Kansas |
| Authorized Official Name and Position | Cynthia Crabb (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 7852322044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Care Physician Services Llc 200 Sw Frazier Cir Topeka KS 66606-2800 Ph: (785) 232-2044 | Midland Care Physician Services Llc 200 Sw Frazier Cir Topeka KS 66606-2800 Ph: (785) 232-2044 |
| NPI Number | 1194448548 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Medicare PECOS PAC ID | 0446627202 |
|---|---|
| Medicare Enrollment ID | O20221108000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194448548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Charles G Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508847161 PECOS PAC ID: 6103806294 Enrollment ID: I20040721000005 |
| Provider Name | Mark A Wiles |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932107521 PECOS PAC ID: 1052383080 Enrollment ID: I20040810001325 |
| Provider Name | Blaire Elyse Helgeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629685284 PECOS PAC ID: 1658761127 Enrollment ID: I20211124001866 |
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