Dr Jessica Y Calvo Castanon, MD | |
100 W Ross Blvd, Suite 2a, Dodge City, KS 67801-7216 | |
(620) 227-3141 | |
(620) 227-8095 |
Full Name | Dr Jessica Y Calvo Castanon |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 100 W Ross Blvd, Dodge City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104114081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 04-37183 (Kansas) | Primary |
Entity Name | Minneola District Hospital Nbr 2 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376625749 PECOS PAC ID: 1355252545 Enrollment ID: O20050302000745 |
Entity Name | Minneola District Hospital Nbr 2 |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1013009828 PECOS PAC ID: 1355252545 Enrollment ID: O20070223000124 |
Entity Name | Western Plains Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215292701 PECOS PAC ID: 2264597798 Enrollment ID: O20121128000184 |
Entity Name | United Methodist Western Kansas Mexican-american Ministries Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104072487 PECOS PAC ID: 7416866124 Enrollment ID: O20151102000538 |
Mailing Address | Practice Location Address |
---|---|
Dr Jessica Y Calvo Castanon, MD 100 W Ross Blvd, Suite 2a, Dodge City, KS 67801-7216 Ph: (620) 227-3141 | Dr Jessica Y Calvo Castanon, MD 100 W Ross Blvd, Suite 2a, Dodge City, KS 67801-7216 Ph: (620) 227-3141 |
Lyle D Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Central Ave, Dodge City, KS 67801 Phone: 620-227-1371 Fax: 620-227-1208 | |
Dr. Coy Randolph Matthews, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 W Ross Blvd Ste 1b, Dodge City, KS 67801 Phone: 620-371-5576 | |
Martin A Castillo Liranzo, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 112 W Ross Blvd, Suite A, Dodge City, KS 67801 Phone: 620-801-4380 Fax: 620-801-4383 |