Brian John Goentzel, | |
1947 N Founders Cir, Wichita, KS 67206-3548 | |
(316) 613-4670 | |
(316) 613-4726 |
Full Name | Brian John Goentzel |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 15 Years |
Location | 1947 N Founders Cir, Wichita, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194959692 | NPI | - | NPPES |
201155750A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 04-39829 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kansas Surgery & Recovery Center | Wichita, KS | Hospital |
Via Christi Hospital Wichita St Teresa, Inc | Wichita, KS | Hospital |
Via Christi Hospital-wichita | Wichita, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group Via Christi, Pa | 2961314497 | 167 |
Entity Name | Ascension Medical Group Via Christi, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063453991 PECOS PAC ID: 2961314497 Enrollment ID: O20031104000089 |
Mailing Address | Practice Location Address |
---|---|
Brian John Goentzel, Po Box 8035, Wichita, KS 67208-0035 Ph: () - | Brian John Goentzel, 1947 N Founders Cir, Wichita, KS 67206-3548 Ph: (316) 613-4670 |
James Phillips, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St Ste 3023, Wichita, KS 67214 Phone: 316-293-2665 | |
Valerie Audra Grau, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-268-5000 | |
Scott D Mclaren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 | |
John Dale Peterson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis St, Wichita, KS 67214 Phone: 800-374-5326 Fax: 800-374-7656 | |
Dylan Michael Brittain, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Jonathan Michael Snell, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Michael A Mueller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave, Ste 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-686-1557 |