Kevin Hamm, DO,PA | |
629 S Plummer Ave, Chanute, KS 66720-1928 | |
(316) 755-0482 | |
(316) 755-0458 |
Full Name | Kevin Hamm |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 33 Years |
Location | 629 S Plummer Ave, Chanute, 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 |
---|---|---|---|
1578657623 | NPI | - | NPPES |
48-1235274 | Other | KS | TAX ID # |
05-26968 | Other | KS | LISCENSE |
100297360C | Medicaid | KS | |
058849 | Other | KS | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 05-26968 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Neosho Memorial Regional Medical Center | Chanute, KS | Hospital |
Kiowa District Hospital | Kiowa, KS | Hospital |
Medicine Lodge Memorial Hospital | Medicine lodge, KS | Hospital |
St Mary's Regional Medical Center | Enid, OK | Hospital |
Labette Health | Parsons, KS | Hospital |
Entity Name | Sumner County Hospital District No 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215094438 PECOS PAC ID: 6103925268 Enrollment ID: O20080926000428 |
Entity Name | Kevin Hamm Do Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801150503 PECOS PAC ID: 5193972040 Enrollment ID: O20120828000438 |
Entity Name | Diagnostic Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427049956 PECOS PAC ID: 8820083645 Enrollment ID: O20170516002124 |
Entity Name | Comanche County Hospital Authority Southwest Radiology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194996447 PECOS PAC ID: 7113082009 Enrollment ID: O20200225000272 |
Mailing Address | Practice Location Address |
---|---|
Kevin Hamm, DO,PA Po Box 397, Valley Center, KS 67147-0397 Ph: (316) 755-0482 | Kevin Hamm, DO,PA 629 S Plummer Ave, Chanute, KS 66720-1928 Ph: (316) 755-0482 |
Mark Witaczack, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 629 S Plummer, Chanute, KS 66720 Phone: 316-321-5900 Fax: 316-321-4763 |