| Reed Medical Group Mdvip Affiliate Corporation | |
|
1112 W 6th St Ste 214a Lawrence KS 66044-2249 | |
| (785) 505-5671 | |
| (785) 505-5336 |
| Full Name | Reed Medical Group Mdvip Affiliate Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1112 W 6th St Ste 214a, Lawrence, Kansas |
| Authorized Official Name and Position | Heather Bahnmaier (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7855052988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reed Medical Group Mdvip Affiliate Corporation 1112 W 6th St Ste 214a Lawrence KS 66044-2249 Ph: (785) 505-5671 | Reed Medical Group Mdvip Affiliate Corporation 1112 W 6th St Ste 214a Lawrence KS 66044-2249 Ph: (785) 505-5671 |
| NPI Number | 1215467584 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 6204108962 |
|---|---|
| Medicare Enrollment ID | O20170816001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215467584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcus L Scarbrough |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225069404 PECOS PAC ID: 5799710018 Enrollment ID: I20051115000541 |
| Provider Name | Eric Alan Huerter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225133812 PECOS PAC ID: 9931280146 Enrollment ID: I20100524000919 |
| Provider Name | Angela M Cloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629615240 PECOS PAC ID: 1456765692 Enrollment ID: I20210128002256 |
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