Dr Teresa M Craddock, MD | |
1515 S Clifton Ave, Ste 400, Wichita, KS 67218-2900 | |
(316) 636-1550 | |
(316) 689-9769 |
Full Name | Dr Teresa M Craddock |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1515 S Clifton Ave, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811949241 | NPI | - | NPPES |
100285040N | Other | OK | OK MEDICAID |
100285040N | Medicaid | KS | |
016576028 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 0425326 (Kansas) | Primary |
Entity Name | Ascension Medical Group Via Christi, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063453991 PECOS PAC ID: 2961314497 Enrollment ID: O20031104000089 |
Entity Name | Kingman County Family Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770785362 PECOS PAC ID: 0941266852 Enrollment ID: O20041202000643 |
Mailing Address | Practice Location Address |
---|---|
Dr Teresa M Craddock, MD Po Box 8035, Wichita, KS 67208-0035 Ph: (316) 689-9135 | Dr Teresa M Craddock, MD 1515 S Clifton Ave, Ste 400, Wichita, KS 67218-2900 Ph: (316) 636-1550 |
Mackenzie Michelle Enmeier, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Damen Wayne Hershberger, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9300 E 29th St N Ste 320, Wichita, KS 67226 Phone: 316-858-7100 Fax: 316-858-7103 | |
Edmond G Feuille Ii, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 551 N Hillside St, Ste 510, Wichita, KS 67214 Phone: 316-685-0559 Fax: 316-685-0455 | |
Dr. Elizabeth Carole Melton-mendoza, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-962-3100 | |
Lucy Lehoczky, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St Ste 3023, Wichita, KS 67214 Phone: 316-293-2665 | |
Andrea Marie Fullerton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1515 S Clifton, Ste 400, Wichita, KS 67208 Phone: 316-636-1550 Fax: 316-689-9769 | |
Dr. Thalia J Lopez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 527 N Grove St, Wichita, KS 67214 Phone: 316-262-2415 Fax: 316-264-4734 |