- Medicare Podiatrist in Montezuma, KS

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is a medicare enrolled "Podiatrist" provider in Montezuma, Kansas. Their current practice location is 300 S Aztec St, Montezuma, Kansas. You can reach out to their office (for appointments etc.) via phone at (502) 244-2420.

is licensed to practice in Kansas (license number 12-00421) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1518321769.

Contact Information

300 S Aztec St,
Montezuma, KS 67867-8811
(502) 244-2420
(502) 996-8282

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPodiatrist
Location300 S Aztec St, Montezuma, Kansas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518321769
  • Provider Enumeration Date: 04/13/2016
  • Last Update Date: 04/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719276328
  • Enrollment ID: O20160523000279

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518321769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 12-00421 (Kansas)Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameDouglas L Brown
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1083713051
PECOS PAC ID: 6406803550
Enrollment ID: I20050331001242
Provider NameCheryl E Shanks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063432094
PECOS PAC ID: 6800816927
Enrollment ID: I20051202000584
Provider NameScott Jason Giaimo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1912967381
PECOS PAC ID: 2163488446
Enrollment ID: I20160523000607
Provider NameAnn Marie Hanon
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619081395
PECOS PAC ID: 9133104482
Enrollment ID: I20200211000200
Provider NameJessica Nicole Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508464306
PECOS PAC ID: 0648685461
Enrollment ID: I20210209000106
Provider NameEileen Derks-wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083276042
PECOS PAC ID: 1153653647
Enrollment ID: I20210927002194
Provider NameAmber Michelle Kamalei Sudduth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871217018
PECOS PAC ID: 6305222803
Enrollment ID: I20221006003060
Provider NameCatherine Nicole Neufeld
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467145185
PECOS PAC ID: 1052774510
Enrollment ID: I20230830003964

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. 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 AddressPractice Location Address

12910 Shelbyville Rd, Suite 300,
Louisville, KY 40243-1593

Ph: (855) 259-9183
300 S Aztec St,
Montezuma, KS 67867-8811

Ph: (502) 244-2420

Reviews and Comments


Podiatrist in Montezuma, KS


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.