Marlon S Bazan, PA-C in Liberal, KS - Medicare Physician Assistant

Marlon S Bazan, PA-C is a medicare enrolled "Physician Assistant - Medical" in Liberal, Kansas. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lompoc Hospitalist Group Pc, Providence Medical Foundation and his current practice location is 315 W 15th St, Liberal, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 629-6477.

Marlon S Bazan is licensed to practice in Kansas (license number 1502129) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306329438.

Contact Information

	Marlon S Bazan, PA-C
	315 W 15th St, Liberal, KS 67901-2455
	(620) 629-6477
	(620) 629-6651

Map and Direction

Provider's Profile

Full Name	Marlon S Bazan
Gender	Male
Speciality	Physician Assistant
Experience	6 Years
Location	315 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.

Medical Education and Training:

Marlon S Bazan graduated from nursing school in 2018

NPI Data:

NPI Number: 1306329438
Provider Enumeration Date: 09/14/2018
Last Update Date: 09/14/2018

Medicare PECOS Information:

PECOS PAC ID: 8224381983
Enrollment ID: I20200720000160

Medical Identifiers

Medical identifiers for Marlon S Bazan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306329438	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1502129 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lompoc Valley Medical Center	Lompoc, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lompoc Hospitalist Group Pc	8426470832	11
Providence Medical Foundation	8921993205	1312

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marlon S Bazan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Marlon S Bazan, PA-C Po Box 1340, Liberal, KS 67905-1340 Ph: (620) 629-6638	Marlon S Bazan, PA-C 315 W 15th St, Liberal, KS 67901-2455 Ph: (620) 629-6477

Reviews and Comments

Physician Assistant Nurses in Liberal, KS

Unnati Basnyat, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Lauren Taylor Boyce, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Elyse Ann Jablonski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Mr. Bereket T Woldemariam, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Mr. Bishal Bista, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Mr. Derick N. Samafuhbi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651

Marlon S Bazan, PA-C - Medicare Physician Assistant in Liberal, KS