Mrs Beverly Lorraine Tasche, PAC | |
1525 Madison St, Ste 2, Fredonia, KS 66736-1704 | |
(620) 378-2068 | |
(620) 378-2312 |
Full Name | Mrs Beverly Lorraine Tasche |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1525 Madison St, Fredonia, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932192416 | NPI | - | NPPES |
0000427259 | Other | KS | BLUE CROSS BLUE SHIELD OF KANSAS |
100003170C | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 1500290 (Kansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Beverly Lorraine Tasche, PAC 1525 Madison St, Ste 2, Fredonia, KS 66736-1704 Ph: (620) 378-2068 | Mrs Beverly Lorraine Tasche, PAC 1525 Madison St, Ste 2, Fredonia, KS 66736-1704 Ph: (620) 378-2068 |
Mrs. Jenessa D Kleopfer, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1525 Madison St, Suite 2, Fredonia, KS 66736 Phone: 620-378-2068 Fax: 620-378-2312 | |
Caleb Josiah Couch, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 10744 Edwards Rd, Fredonia, KS 66736 Phone: 620-205-8812 |