Dr Lucas Abinadi Bohannan, DO | |
331 Siijan Ave, Whiteman Afb, MO 65305 | |
(316) 619-5481 | |
Not Available |
Full Name | Dr Lucas Abinadi Bohannan |
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Gender | Male |
Speciality | Family Medicine |
Location | 331 Siijan Ave, Whiteman Afb, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033567425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208M00000X | Hospitalist | 2023017104 (Missouri) | Secondary |
207Q00000X | Family Medicine | 1973 (Nebraska) | Primary |
Entity Name | Saint Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
Mailing Address | Practice Location Address |
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Dr Lucas Abinadi Bohannan, DO 331 Siijan Ave, Whiteman Afb, MO 65305 Ph: (316) 619-5481 | Dr Lucas Abinadi Bohannan, DO 331 Siijan Ave, Whiteman Afb, MO 65305 Ph: (316) 619-5481 |
Dr. Colin Matthew Hart, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 331 Sijan Ave, Whiteman Afb, MO 65305 Phone: 660-687-4908 Fax: 660-687-1148 | |
Dr. Christine Elaine Tholen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Sijan Ave, Whiteman Afb, MO 65305 Phone: 660-687-6405 | |
Cassandra Romereim, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Sijen Ave, Whiteman Afb, MO 65305 Phone: 660-687-2188 | |
Janean Wedeking, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Sijen Ave, Whiteman Afb, MO 65305 Phone: 660-687-2188 | |
Dr. Margaret Joan Garner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Sijen Ave, 509th Medical Group, Family Practice, Whiteman Afb, MO 65305 Phone: 660-687-3554 |