Dr Theodore J Williams, MD | |
15101 Glenwood Ave, Stanley, KS 66223-3154 | |
(913) 681-8866 | |
(913) 338-1311 |
Full Name | Dr Theodore J Williams |
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Gender | Male |
Speciality | Family Medicine |
Location | 15101 Glenwood Ave, Stanley, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114914546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0422094 (Kansas) | Primary |
Entity Name | Mid America Pain Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699362822 PECOS PAC ID: 7012316870 Enrollment ID: O20210527000594 |
Mailing Address | Practice Location Address |
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Dr Theodore J Williams, MD Po Box 741331, Atlanta, GA 30374-1331 Ph: (913) 469-0503 | Dr Theodore J Williams, MD 15101 Glenwood Ave, Stanley, KS 66223-3154 Ph: (913) 681-8866 |
Dr. Tom Kettler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15101 Glenwood Ave, Stanley, KS 66223 Phone: 913-681-8866 Fax: 913-338-1311 | |
Dr. Robert L Schuchardt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15101 Glenwood Ave, Stanley, KS 66223 Phone: 913-681-8866 Fax: 913-338-1311 | |
Dr. Suzanne H Shaffer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15101 Glenwood Ave, Stanley, KS 66223 Phone: 913-681-8866 Fax: 913-338-1311 | |
Mitzi M Groves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15101 Glenwood Ave, Stanley, KS 66223 Phone: 913-681-8866 Fax: 913-338-1311 | |
Dr. Gregory E Chambon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15101 Glenwood Ave, Stanley, KS 66223 Phone: 913-681-8866 Fax: 913-338-1311 | |
Dr. Yutaka Kawase, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15101 Glenwood Ave, Stanley, KS 66223 Phone: 913-681-8866 Fax: 913-338-1311 |