Dr Dominador T Perido Jr, is a
Surgery physician based in Elkhart, Kansas. Dr Dominador T Perido Jr is licensed to practice in Kansas (license number KS0416343) and his current practice location is 411 Sunset, Elkhart, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 697-2155.
NPI number for Dr Dominador T Perido Jr is 1770576464 and his current mailing address is Po Box 997, Elkhart, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770576464.
Physician's Profile
| Full Name | Dr Dominador T Perido Jr |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 411 Sunset, Elkhart, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770576464
- Provider Enumeration Date: 08/26/2005
- Last Update Date: 08/08/2012
Medical Identifiers
Medical identifiers for Dr Dominador T Perido Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770576464 | NPI | - | NPPES |
| 100085400A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | KS0416343 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dominador T Perido Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Dominador T Perido Jr,
Po Box 997,
Elkhart, KS 67950-0997
Ph: (620) 697-2155 | Dr Dominador T Perido Jr,
411 Sunset,
Elkhart, KS 67950-0997
Ph: (620) 697-2155 |
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