Sidney Jules Melugin, | |
2225 E Highridge St, Park City, KS 67219-4567 | |
(316) 213-9627 | |
Not Available |
Full Name | Sidney Jules Melugin |
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Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 2225 E Highridge St, Park City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063104057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 363LG0600X (Kansas) | Primary |
Entity Name | Kansas Post Acute Medical Services 1 Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124557020 PECOS PAC ID: 1557634193 Enrollment ID: O20170905000134 |
Entity Name | Nv Pacs 2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210810000716 |
Mailing Address | Practice Location Address |
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Sidney Jules Melugin, 4700 W 13th St N, Wichita, KS 67212-5575 Ph: (316) 202-3676 | Sidney Jules Melugin, 2225 E Highridge St, Park City, KS 67219-4567 Ph: (316) 213-9627 |
Kristi D Unruh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 E 61st St N, Park City, KS 67219 Phone: 316-440-4466 | |
Faith Obiero, APRN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 E 61st St N Ste 2, Park City, KS 67219 Phone: 316-516-0008 |