Thomas Dagg, | |
3515 Broadway Ave, Great Bend, KS 67530-3633 | |
(620) 792-2511 | |
(620) 860-0619 |
Full Name | Thomas Dagg |
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Gender | Male |
Speciality | Family Medicine |
Location | 3515 Broadway 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 |
---|---|---|---|
1861985103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 94-09578 (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 |
---|---|
Thomas Dagg, 3515 Broadway Ave, Great Bend, KS 67530-3633 Ph: (620) 792-2511 | Thomas Dagg, 3515 Broadway Ave, Great Bend, KS 67530-3633 Ph: (620) 792-2511 |
Micca Schneider, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2511 Fax: 620-860-0619 | |
Perry M Smith, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1309 Polk St, Great Bend, KS 67530 Phone: 620-792-5341 Fax: 620-792-3702 | |
Jeffrey E Brozek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 Polk St, Great Bend, KS 67530 Phone: 620-792-5341 Fax: 620-792-3702 | |
Anna Dagg, Family Medicine Medicare: Medicare Enrolled Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2511 Fax: 620-860-0619 | |
Robert P Moser Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-603-7398 Fax: 620-796-2274 | |
Graeme M. Rodgman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3520 Lakin Ave, Great Bend, KS 67530 Phone: 620-792-3345 Fax: 620-792-3767 | |
Brenda Kay Dinges, APRN FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5815 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-7052 |