| Telehealth Medical Services Of Ks Pa | |
|
801 E Douglas Ave Fl 2 Wichita KS 67202-3548 | |
| (844) 301-0093 | |
| Not Available |
| Full Name | Telehealth Medical Services Of Ks Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 801 E Douglas Ave Fl 2, Wichita, Kansas |
| Authorized Official Name and Position | Aiden Feng (OWNER/PRESIDENT) |
| Authorized Official Contact | 8443010093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telehealth Medical Services Of Ks Pa 228 Park Ave South, Pmb 31583 New York NY 10003-1502 Ph: (844) 310-0093 | Telehealth Medical Services Of Ks Pa 801 E Douglas Ave Fl 2 Wichita KS 67202-3548 Ph: (844) 301-0093 |
| NPI Number | 1720739402 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 05/01/2026 |
| Medicare PECOS PAC ID | 3476947946 |
|---|---|
| Medicare Enrollment ID | O20220225001918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720739402 | NPI | - | NPPES |
| Provider Name | Omar L Hamada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750358131 PECOS PAC ID: 7618881517 Enrollment ID: I20031204000442 |
| Provider Name | Stanley C Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740221365 PECOS PAC ID: 8527049485 Enrollment ID: I20070209000616 |
| Provider Name | Tyler Mark Hartman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902212657 PECOS PAC ID: 3577788124 Enrollment ID: I20170809003777 |
| Provider Name | Michael David Corvini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396770699 PECOS PAC ID: 0446256150 Enrollment ID: I20171122000068 |
| Provider Name | Harold Lynn Massingale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568402865 PECOS PAC ID: 9436057015 Enrollment ID: I20220222000787 |
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