John Shellito Jr, MD | |
1947 Founders St, Wichita, KS 67206-3548 | |
(316) 689-9124 | |
(316) 613-4608 |
Full Name | John Shellito Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 46 Years |
Location | 1947 Founders St, Wichita, 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 |
---|---|---|---|
1720019151 | NPI | - | NPPES |
836 | Other | KS | PHS |
12149403 | Other | KS | MULTIPLAN |
200152 | Other | KS | HPK |
003429 | Other | KS | BCBS |
100147290C | Medicaid | KS | |
16923 | Other | KS | COVENTRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 20502 (Kansas) | Primary |
2086S0129X | Surgery - Vascular Surgery | 20502 (Kansas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group Via Christi, Pa | 2961314497 | 167 |
Entity Name | Ascension Medical Group Via Christi, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063453991 PECOS PAC ID: 2961314497 Enrollment ID: O20031104000089 |
Mailing Address | Practice Location Address |
---|---|
John Shellito Jr, MD Po Box 8035, Wichita, KS 67208-0035 Ph: (316) 689-9135 | John Shellito Jr, MD 1947 Founders St, Wichita, KS 67206-3548 Ph: (316) 689-9124 |
Sarah Corn, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Bradon Bitter, Surgery Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
David C. Grantham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 818 N Emporia St Ste 200, Wichita, KS 67214 Phone: 316-263-0246 Fax: 316-263-9523 | |
Dr. Duane L Osborne, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 818 N Emporia St, Suite 200, Wichita, KS 67214 Phone: 316-263-0296 Fax: 316-263-9523 | |
Dr. Therese Elizabeth Cusick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 551 N Hillside St Ste 201, Wichita, KS 67214 Phone: 316-263-0296 Fax: 316-263-9523 | |
Dr. Eric Edward Burns, DO Surgery Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Jason Daniel Woolard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9350 E 35th St N Ste 103, Wichita, KS 67226 Phone: 316-858-5000 Fax: 316-858-5003 |