| Primary Medical Associates Chartered | |
|
7348 W 21st St N Suite 121 Wichita KS 67205-1793 | |
| (316) 722-0103 | |
| (316) 722-2333 |
| Full Name | Primary Medical Associates Chartered |
|---|---|
| Speciality | Family Medicine |
| Location | 7348 W 21st St N, Wichita, Kansas |
| Authorized Official Name and Position | Michael Shuck (PRESIDENT) |
| Authorized Official Contact | 3167220103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Associates Chartered 7348 W 21st St N Suite 121 Wichita KS 67205-1793 Ph: (316) 722-0103 | Primary Medical Associates Chartered 7348 W 21st St N Suite 121 Wichita KS 67205-1793 Ph: (316) 722-0103 |
| NPI Number | 1144547506 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 08/18/2015 |
| Medicare PECOS PAC ID | 8628105475 |
|---|---|
| Medicare Enrollment ID | O20100427000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144547506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-24235 (Kansas) | Primary |
| Provider Name | Michael W Shuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356454037 PECOS PAC ID: 3375670136 Enrollment ID: I20100503000487 |
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