Dagoberto Heredia, | |
346 Maine St Ste 150, Lawrence, KS 66044-1393 | |
(785) 841-7297 | |
Not Available |
Full Name | Dagoberto Heredia |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 33 Years |
Location | 346 Maine St Ste 150, Lawrence, 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 |
---|---|---|---|
1558395467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 08-00268 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
F W Huston Medical Center | Winchester, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valeo Behavioral Health Care Inc | 0446164321 | 23 |
Community Healthcare System Inc | 8325031529 | 26 |
Entity Name | Valeo Behavioral Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306812060 PECOS PAC ID: 0446164321 Enrollment ID: O20031114000486 |
Entity Name | Community Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578528824 PECOS PAC ID: 8325031529 Enrollment ID: O20040405000949 |
Entity Name | Jefferson County Memorial Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750354908 PECOS PAC ID: 6002868445 Enrollment ID: O20050215000085 |
Mailing Address | Practice Location Address |
---|---|
Dagoberto Heredia, 120 W 8th St, Onaga, KS 66521-9574 Ph: (785) 841-7297 | Dagoberto Heredia, 346 Maine St Ste 150, Lawrence, KS 66044-1393 Ph: (785) 841-7297 |
Timothy Jason Mccord, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Maine St Ste A, Lawrence, KS 66044 Phone: 785-843-9192 Fax: 785-856-9191 | |
Dr. Sanjeev Kumar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1130 W 4th St Ste 3203, Lawrence, KS 66044 Phone: 785-832-1424 Fax: 785-505-5260 | |
Dr. Linda Lorene Keeler, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1200 Schwegler Dr, Watkins Health Center 2100, Lawrence, KS 66045 Phone: 785-864-2277 Fax: 785-864-2721 | |
Joe Douglas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Maine, Suite A, Lawrence, KS 66044 Phone: 785-843-9192 Fax: 785-856-9191 | |
Dr. Paul D Morte, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1112 W 6th St, Ste 218, Lawrence, KS 66044 Phone: 785-842-8240 Fax: 785-842-7474 | |
Dr. C. Shaffia Laue, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1025 Kentucky St, Lawrence, KS 66044 Phone: 785-841-1243 Fax: 785-841-1243 | |
Takeshi Yoshida, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Maine St, Ste A, Lawrence, KS 66044 Phone: 785-843-9192 Fax: 785-843-6744 |