| Tanglewood Family Medical Center Pa | |
|
606 Mulberry Rd Derby KS 67037-3532 | |
| (316) 788-3787 | |
| (316) 788-6930 |
| Full Name | Tanglewood Family Medical Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 606 Mulberry Rd, Derby, Kansas |
| Authorized Official Name and Position | Lorianne Nighswonger (OFFICE MANAGER) |
| Authorized Official Contact | 3167883787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanglewood Family Medical Center Pa 606 Mulberry Rd Derby KS 67037-3532 Ph: (316) 788-3787 | Tanglewood Family Medical Center Pa 606 Mulberry Rd Derby KS 67037-3532 Ph: (316) 788-3787 |
| NPI Number | 1659472306 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 10/21/2008 |
| Medicare PECOS PAC ID | 7113911389 |
|---|---|
| Medicare Enrollment ID | O20040412000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659472306 | NPI | - | NPPES |
| P00099501 | Other | KS | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Constantine P Panakos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114949179 PECOS PAC ID: 4688656580 Enrollment ID: I20040603001326 |
| Provider Name | Catherine E Vitosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124181573 PECOS PAC ID: 7012996127 Enrollment ID: I20040714000282 |
| Provider Name | Glen R Patton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922073337 PECOS PAC ID: 9537104179 Enrollment ID: I20050623000398 |
| Provider Name | Elizabeth R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073090783 PECOS PAC ID: 8325397250 Enrollment ID: I20180824002760 |
| Provider Name | Emily Paige Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720698772 PECOS PAC ID: 4082030234 Enrollment ID: I20200818002760 |
Family Medcenters, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 N Rock Rd, Derby, KS 67037 Phone: 316-788-6963 Fax: 316-788-5373 | |
Kansas Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 N Woodlawn Blvd, Derby, KS 67037 Phone: 316-788-3741 Fax: 316-788-5198 | |
Essential Health & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 N Buckner St, Derby, KS 67037 Phone: 316-425-3337 Fax: 316-425-3799 | |
Rock Regional Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3251 N Rock Rd, Derby, KS 67037 Phone: 316-425-2400 | |
Rock Regional Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 N Mulberry Rd, Derby, KS 67037 Phone: 307-257-0306 | |
Family Medcenters, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 N Rock Rd, Derby, KS 67037 Phone: 316-788-6963 Fax: 316-788-5373 |