Dr Jose A Maeda, MD | |
305 W 15th St, Suite 204, Liberal, KS 67901-2455 | |
(620) 624-4946 | |
(620) 624-2260 |
Full Name | Dr Jose A Maeda |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 47 Years |
Location | 305 W 15th St, Liberal, 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 |
---|---|---|---|
1083793087 | NPI | - | NPPES |
200554440A | Medicaid | OK | |
201001320A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | J1719 (Texas) | Secondary |
208600000X | Surgery | 0436164 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Health Watch Health Care Of Liberal, Llc | Liberal, KS | Home health agency |
Southwest Medical Center | Liberal, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Medical Center | 7517941651 | 32 |
Entity Name | Southwest Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144493040 PECOS PAC ID: 7517941651 Enrollment ID: O20040805001105 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose A Maeda, MD Po Box 1215, Attn Clinic Billing Office, Liberal, KS 67905-1215 Ph: (620) 629-6638 | Dr Jose A Maeda, MD 305 W 15th St, Suite 204, Liberal, KS 67901-2455 Ph: (620) 624-4946 |
Nchang Mantoh Azefor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St Ste 204, Liberal, KS 67901 Phone: 620-624-4946 Fax: 620-624-2260 | |
Dr. Imudia Dekonte Ehanire, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St, Ste 204, Liberal, KS 67901 Phone: 620-624-4946 Fax: 620-624-2260 | |
Dr. Mona A Rane, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 109 E. 11th Street, Liberal, KS 67901 Phone: 620-624-8500 Fax: 620-624-8510 |