Dodge City Family Care Clinic - Medicare Primary Care in Dodge City, KS

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Dodge City Family Care Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Dodge City, Kansas. The current practice location for Dodge City Family Care Clinic is 200 W Ross Blvd, Dodge City, Kansas. For appointments, you can reach them via phone at (620) 371-7300. The mailing address for Dodge City Family Care Clinic is Po Box 127, Minneola, Kansas and phone number is (620) 885-4264.

Dodge City Family Care Clinic is licensed to practice in Kansas (license number H013002). The clinic also participates in the medicare program and its NPI number is 1376625749. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (620) 371-7300.

Contact Information

Dodge City Family Care Clinic
200 W Ross Blvd
Dodge City
KS 67801-7221
(620) 371-7300
(620) 371-7304

Map and Direction


Primary Care Clinic Profile

Full NameDodge City Family Care Clinic
SpecialityClinic/Center
Location200 W Ross Blvd, Dodge City, Kansas
Authorized Official Name and PositionDeborah Bruner (CEO)
Authorized Official Contact6208854264
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dodge City Family Care Clinic
Po Box 127
Minneola
KS 67865-0127

Ph: (620) 885-4264		Dodge City Family Care Clinic
200 W Ross Blvd
Dodge City
KS 67801-7221

Ph: (620) 371-7300

NPI Details:

NPI Number1376625749
Provider Enumeration Date10/19/2006
Last Update Date04/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1355252545
Medicare Enrollment IDO20050302000745

Medical Identifiers

Medical identifiers for Dodge City Family Care Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376625749NPI-NPPES
000455OtherKSBLUE CROSS RHC
100010520BMedicaidKS
110486OtherKSBLUE SHIELD
100010520FMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health H013002 (Kansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dodge City Family Care Clinic acts as a billing entity for following providers:
Provider NameShawn L Conard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073511051
PECOS PAC ID: 3971406612
Enrollment ID: I20040129000778
Provider NameSamir K Shaath
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023099686
PECOS PAC ID: 1850331265
Enrollment ID: I20050505000197
Provider NameWin M Kyi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1720152952
PECOS PAC ID: 9133160880
Enrollment ID: I20050512000824
Provider NameAye M Win
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669521548
PECOS PAC ID: 6305887050
Enrollment ID: I20050512000829
Provider NameMatthew Charles Ridder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619082815
PECOS PAC ID: 1759325889
Enrollment ID: I20050620000200
Provider NameMirza M Ahmad
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942281506
PECOS PAC ID: 6305735937
Enrollment ID: I20050708000783
Provider NameAnthony D Luna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659468924
PECOS PAC ID: 4284664251
Enrollment ID: I20050818000941
Provider NameSamuel T Stephens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164519427
PECOS PAC ID: 7416983085
Enrollment ID: I20060109000508
Provider NameDebra K Moffitt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386600781
PECOS PAC ID: 6305869041
Enrollment ID: I20060109001072
Provider NameJames W Moffitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346205929
PECOS PAC ID: 0840109765
Enrollment ID: I20080131000630
Provider NamePatrick L Allen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023304508
PECOS PAC ID: 0648421180
Enrollment ID: I20121119000493
Provider NameFaris Azzouni
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1619110608
PECOS PAC ID: 9739345422
Enrollment ID: I20130916000115
Provider NameKelly Gabel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1538307236
PECOS PAC ID: 1153555164
Enrollment ID: I20131007000741
Provider NameJessica Y Calvo Castanon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104114081
PECOS PAC ID: 2567682818
Enrollment ID: I20141008001349
Provider NameJose L Renteria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053704361
PECOS PAC ID: 1951629963
Enrollment ID: I20150422001832
Provider NameFranchesca Schandevel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508253055
PECOS PAC ID: 1658677745
Enrollment ID: I20180829003297
Provider NameNathan Schandevel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699162149
PECOS PAC ID: 9638474612
Enrollment ID: I20181017001204
Provider NameJennifer Ann Imel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437775574
PECOS PAC ID: 1951714583
Enrollment ID: I20201228002581
Provider NameKati R Mahalek
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982096996
PECOS PAC ID: 0941521793
Enrollment ID: I20210812003891
Provider NameSunmin Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366888471
PECOS PAC ID: 3274774153
Enrollment ID: I20211014002374
Provider NameStephen A Cagle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063477255
PECOS PAC ID: 8325421399
Enrollment ID: I20220824001514

Reviews and Comments


Clinic/Center in Dodge City, KS

Genesis Family Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Avenue F, Dodge City, KS 67801
Phone: 620-227-9797    Fax: 620-227-9751
Cmg Internal Medicine Dodge City
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2300 N 14th Ave Ste 104, Dodge City, KS 67801
Phone: 620-371-7010    Fax: 620-371-7011
Scdc Family Practice
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 100 W Ross Blvd Ste 1b, Dodge City, KS 67801
Phone: 620-371-5576    Fax: 620-371-5006
C&s Medical Clinic Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Summerlon Circle, Suite A, Dodge City, KS 67801
Phone: 620-408-9700    Fax: 620-408-9701
Hodgeman County Medical Services, Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2200 Summerlon Cir, Ste A, Dodge City, KS 67801
Phone: 620-408-9700    Fax: 620-408-9701
Catholic Health Initiatives Colorado
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 112 W Ross Blvd Ste B, Dodge City, KS 67801
Phone: 999-999-9999    
United Methodist Western Kansas Mexican-american Ministries, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2020 Central Ave, Dodge City, KS 67801
Phone: 620-227-9797    Fax: 620-225-2422

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.