| Internal Medicine South | |
|
1431 Bluffview St Suite 111 Wichita KS 67218-3039 | |
| (316) 689-6005 | |
| (316) 691-6785 |
| Full Name | Internal Medicine South |
|---|---|
| Speciality | Internal Medicine |
| Location | 1431 Bluffview St, Wichita, Kansas |
| Authorized Official Name and Position | Patrick G Wolf (MEDICAL DOCTOR) |
| Authorized Official Contact | 3166896005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine South 1431 Bluffview St Suite 111 Wichita KS 67218-3039 Ph: (316) 689-6005 | Internal Medicine South 1431 Bluffview St Suite 111 Wichita KS 67218-3039 Ph: (316) 689-6005 |
| NPI Number | 1194717694 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5799748000 |
|---|---|
| Medicare Enrollment ID | O20041108001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194717694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Kansas) | Primary |
| Provider Name | Laura C Bevis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811009343 PECOS PAC ID: 8123926029 Enrollment ID: I20031230000398 |
| Provider Name | Patrick George Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982699724 PECOS PAC ID: 7214990571 Enrollment ID: I20041108000612 |
| Provider Name | Marie M Hand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396772943 PECOS PAC ID: 2769628593 Enrollment ID: I20220119002553 |
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