Jed D Holmes, MD | |
7111 E 21st Street N, Suite A, Wichita, KS 67206 | |
(316) 684-2851 | |
(316) 686-7338 |
Full Name | Jed D Holmes |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7111 E 21st Street N, 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 |
---|---|---|---|
1033111331 | NPI | - | NPPES |
80186351 | Other | KS | RAILROAD MEDICARE |
110718 | Other | KS | BLUE CROSS GROUP |
101601 | Other | KS | BLUE CROSS INDIVIDUAL |
100084320B | Medicaid | KS | |
101601 | Other | KS | CHAMPUS |
621541 | Other | IA | FIRSTGUARD |
100416440A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04-18241 (Kansas) | Primary |
Entity Name | Primary Care Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003832403 PECOS PAC ID: 1153235015 Enrollment ID: O20040226000340 |
Mailing Address | Practice Location Address |
---|---|
Jed D Holmes, MD 7111 E 21st Street N, Suite A, Wichita, KS 67206 Ph: (316) 684-2851 | Jed D Holmes, MD 7111 E 21st Street N, Suite A, Wichita, KS 67206 Ph: (316) 684-2851 |
Alisa L Schmidt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3515 W Central Ave, Wichita, KS 67203 Phone: 316-755-0144 Fax: 844-274-1204 | |
Dr. Willy G Pereira, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6155 E Harry St, Wichita, KS 67218 Phone: 316-682-1754 | |
Gregory F Lakin, D.O., J.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 933 N Topeka St, Wichita, KS 67214 Phone: 316-201-1234 | |
Robert S. Neblett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1122 N Topeka St, Wichita, KS 67214 Phone: 316-263-7455 Fax: 316-866-2083 | |
Dr. Rogena Kelly Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 527 N Grove St, Wichita, KS 67214 Phone: 316-262-2415 Fax: 316-264-4734 | |
Starlet Kerner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7011 W Central Ave Ste 125, Wichita, KS 67212 Phone: 316-252-8900 | |
Ashley Houser, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 |