Dr Holly Renee Gault, MD | |
3011 N Michigan St, Pittsburg, KS 66762-2546 | |
(620) 231-9873 | |
(620) 231-5062 |
Full Name | Dr Holly Renee Gault |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 11 Years |
Location | 3011 N Michigan St, Pittsburg, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497194781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2013017864 (Missouri) | Secondary |
207Q00000X | Family Medicine | 0439378 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avalon Hospice (pittsburg) | Pittsburg, KS | Hospice |
Via Christi Hospital Pittsburg Inc | Pittsburg, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Center Of Southeast Kansas Inc | 7911816392 | 122 |
Entity Name | Community Health Center Of Southeast Kansas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
Mailing Address | Practice Location Address |
---|---|
Dr Holly Renee Gault, MD 3011 N Michigan St, Pittsburg, KS 66762-2546 Ph: (620) 231-9873 | Dr Holly Renee Gault, MD 3011 N Michigan St, Pittsburg, KS 66762-2546 Ph: (620) 231-9873 |
Ryan Christopher Sorell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-308-7245 | |
Bethany Nicole Enoch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 S Mount Carmel Pl, Pittsburg, KS 66762 Phone: 888-777-9170 | |
Kent A Coltharp, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 888-777-9170 Fax: 620-231-5062 | |
Dr. Daniel Joseph Koehn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S Tucker Ave, Suite 2, Pittsburg, KS 66762 Phone: 620-235-1043 Fax: 620-231-6555 | |
Jacqueline S Orender, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2305 S. Tucker Terrace, Pittsburg, KS 66762 Phone: 620-231-3132 Fax: 620-231-3133 | |
Kent J Cooper, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 S Tucker Ave, Ste. 2, Pittsburg, KS 66762 Phone: 620-231-6280 Fax: 620-231-6342 | |
Lisa Ayala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 S Mount Carmel Pl, Pittsburg, KS 66762 Phone: 888-777-9170 |