Pedro Wilfrido Vivar Cruz, MD | |
848 N St Francis St Ste 3949, Wichita, KS 67214-3859 | |
(316) 268-8500 | |
(316) 291-7993 |
Full Name | Pedro Wilfrido Vivar Cruz |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 18 Years |
Location | 848 N St Francis St Ste 3949, 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 |
---|---|---|---|
1891007746 | NPI | - | NPPES |
201113500A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 04-37802 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Via Christi Hospital-wichita | Wichita, KS | Hospital |
Via Christi Hospital Wichita St Teresa, Inc | Wichita, KS | Hospital |
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 |
---|---|
Pedro Wilfrido Vivar Cruz, MD Po Box 8035, Wichita, KS 67208-0035 Ph: (316) 689-9135 | Pedro Wilfrido Vivar Cruz, MD 848 N St Francis St Ste 3949, Wichita, KS 67214-3859 Ph: (316) 268-8500 |
Javanthi Theegala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Austin Armstrong, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647 | |
Dr. Gilmar Costa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Dr. Pete Haynes, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Mercedes J Perales, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9333 E 21st St N, Wichita, KS 67206 Phone: 316-634-4700 Fax: 316-634-4770 | |
Anthony Shaw, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647 | |
Elisa Pallares Vela, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 |