Dr Jason Wayne Rundell-little, MD | |
1124 W 21st St, Andover, KS 67002-5500 | |
(316) 300-4911 | |
(316) 300-4940 |
Full Name | Dr Jason Wayne Rundell-little |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1124 W 21st St, Andover, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215988282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 04-30969 (Maine) | Secondary |
207Q00000X | Family Medicine | 04-30969 (Kansas) | Secondary |
207P00000X | Emergency Medicine | 04-30969 (Kansas) | Primary |
Entity Name | Salina Regional Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619952785 PECOS PAC ID: 0446168215 Enrollment ID: O20040130000800 |
Entity Name | Kansas Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255380127 PECOS PAC ID: 2668476862 Enrollment ID: O20061109000659 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Wayne Rundell-little, MD 2216 N. Williamsgate, Wichita, KS 67228-8064 Ph: (316) 207-7220 | Dr Jason Wayne Rundell-little, MD 1124 W 21st St, Andover, KS 67002-5500 Ph: (316) 300-4911 |
Martin E Sellberg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-300-4000 Fax: 316-300-4940 | |
Dr. Richard Lee Watson Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 620-242-7865 |