Nchang Mantoh Azefor, MD | |
305 W 15th St Ste 204, Liberal, KS 67901 | |
(620) 624-4946 | |
(620) 624-2260 |
Full Name | Nchang Mantoh Azefor |
---|---|
Gender | Female |
Speciality | General Practice |
Experience | 15 Years |
Location | 305 W 15th St Ste 204, Liberal, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336375104 | NPI | - | NPPES |
200741890A | Medicaid | OK | |
201174830A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0440303 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fauquier Hospital | Warrenton, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fauquier Physician Practices Llc | 6406083104 | 35 |
Entity Name | Wythe County Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780630327 PECOS PAC ID: 7517972789 Enrollment ID: O20060209000451 |
Entity Name | Fauquier Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770916983 PECOS PAC ID: 6406083104 Enrollment ID: O20131227001299 |
Mailing Address | Practice Location Address |
---|---|
Nchang Mantoh Azefor, MD Po Box 1215, Liberal, KS 67905-1215 Ph: (620) 629-3338 | Nchang Mantoh Azefor, MD 305 W 15th St Ste 204, Liberal, KS 67901 Ph: (620) 624-4946 |
Dr. Jose A. Maeda, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St, Suite 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 |