Ryan M Williams, MD | |
1021 Eisenhower Ave, Great Bend Children's Clinic, Great Bend, KS 67530-3213 | |
(620) 792-5437 | |
(620) 793-5245 |
Full Name | Ryan M Williams |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1021 Eisenhower Ave, Great Bend, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730167842 | NPI | - | NPPES |
100641090A | Medicaid | KS | |
103034 | Other | KS | BLUE CROSS BLUE SHIELD KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0430205 (Kansas) | Primary |
Entity Name | Ukhs Great Bend Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962997197 PECOS PAC ID: 5597016378 Enrollment ID: O20180918000770 |
Mailing Address | Practice Location Address |
---|---|
Ryan M Williams, MD 6025 Aspen Dr, Great Bend, KS 67530-6424 Ph: (620) 792-6671 | Ryan M Williams, MD 1021 Eisenhower Ave, Great Bend Children's Clinic, Great Bend, KS 67530-3213 Ph: (620) 792-5437 |
Dr. Christopher Joseph Koster, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1021 Eisenhower Ave, Great Bend, KS 67530 Phone: 620-792-5437 | |
Marta J Edmonds, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1021 Eisenhower Ave, Great Bend Children's Clinic, P.a., Great Bend, KS 67530 Phone: 620-792-5437 |