| Rock Ridge Family Medicine, P.a. | |
|
8010 E 53rd St N Bel Aire KS 67226-8702 | |
| (316) 630-8200 | |
| (316) 295-4647 |
| Full Name | Rock Ridge Family Medicine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 8010 E 53rd St N, Bel Aire, Kansas |
| Authorized Official Name and Position | Timothy S Wolff (CFO) |
| Authorized Official Contact | 3166308200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Ridge Family Medicine, P.a. 8010 E 53rd St N Bel Aire KS 67226-8702 Ph: (316) 630-8200 | Rock Ridge Family Medicine, P.a. 8010 E 53rd St N Bel Aire KS 67226-8702 Ph: (316) 630-8200 |
| NPI Number | 1023228459 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 01/13/2020 |
| Medicare PECOS PAC ID | 9537254263 |
|---|---|
| Medicare Enrollment ID | O20070926000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023228459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0526012 (Kansas) | Primary |
| Provider Name | Timothy S Wolff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649237587 PECOS PAC ID: 4688607658 Enrollment ID: I20050912000694 |
| Provider Name | Kimberly S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124037205 PECOS PAC ID: 8628376852 Enrollment ID: I20250502001211 |