| El Dorado Sports & Family Medicine | |
|
700 W Central Ave Suite 200 El Dorado KS 67042-2184 | |
| (316) 320-9191 | |
| (316) 320-2220 |
| Full Name | El Dorado Sports & Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 700 W Central Ave, El Dorado, Kansas |
| Authorized Official Name and Position | Lynette Scheid (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 3162016711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado Sports & Family Medicine 1306 State St Augusta KS 67010-1126 Ph: (316) 775-9191 | El Dorado Sports & Family Medicine 700 W Central Ave Suite 200 El Dorado KS 67042-2184 Ph: (316) 320-9191 |
| NPI Number | 1386955649 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 10/26/2022 |
| Medicare PECOS PAC ID | 4981898913 |
|---|---|
| Medicare Enrollment ID | O20101103000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386955649 | NPI | - | NPPES |
| 200684990A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael A Rausch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528173705 PECOS PAC ID: 8022052166 Enrollment ID: I20050620000223 |
| Provider Name | Christie J Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487361416 PECOS PAC ID: 0941678163 Enrollment ID: I20221119000116 |
Sba Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 W Central Ave, El Dorado, KS 67042 Phone: 316-321-3300 Fax: 316-321-4810 | |
Susan B. Allen Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 W Central Ave, El Dorado, KS 67042 Phone: 316-321-3300 Fax: 316-321-2916 | |
Alejandro A Vega Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W Central Ave, Suite 201, El Dorado, KS 67042 Phone: 316-321-2100 Fax: 316-321-0270 | |
Amy Seeber Md P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 W Central Ave, Suite 201, El Dorado, KS 67042 Phone: 316-321-2100 Fax: 316-321-0270 | |
Medicine And Nephrology Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W Central Ave Ste 206, El Dorado, KS 67042 Phone: 316-452-5455 Fax: 316-321-0503 | |
H. Richard Kuhns, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 W Central Ave, Suite 201, El Dorado, KS 67042 Phone: 316-321-2100 Fax: 316-321-0270 |