Dr Tom Kettler, MD | |
15101 Glenwood Ave, Stanley, KS 66223-3154 | |
(913) 681-8866 | |
(913) 338-1311 |
Full Name | Dr Tom Kettler |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 15101 Glenwood Ave, Stanley, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285621615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0421569 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Kansas Hospital | Kansas city, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Overland Park Surgical Specialties Llc | 9234318502 | 105 |
Entity Name | Overland Park Surgical Specialties Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760798540 PECOS PAC ID: 9234318502 Enrollment ID: O20110119001046 |
Mailing Address | Practice Location Address |
---|---|
Dr Tom Kettler, MD Po Box 741331, Atlanta, GA 30374-1331 Ph: (913) 469-0503 | Dr Tom Kettler, MD 15101 Glenwood Ave, Stanley, KS 66223-3154 Ph: (913) 681-8866 |
Dr. Theodore J Williams, M.D. Family Medicine Medicare: Medicare Enrolled 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 |