Jennifer Bacani Mckenney, Md, Llc | |
1525 Madison St Suite 3 Fredonia KS 66736-1703 | |
(620) 378-3700 | |
Not Available |
Full Name | Jennifer Bacani Mckenney, Md, Llc |
---|---|
Speciality | Family Medicine |
Location | 1525 Madison St, Fredonia, Kansas |
Authorized Official Name and Position | Jennifer Bacani Mckenney (OWNER) |
Authorized Official Contact | 6203783700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jennifer Bacani Mckenney, Md, Llc 1525 Madison St Suite 3 Fredonia KS 66736-1703 Ph: (620) 378-3700 | Jennifer Bacani Mckenney, Md, Llc 1525 Madison St Suite 3 Fredonia KS 66736-1703 Ph: (620) 378-3700 |
NPI Number | 1750754610 |
---|---|
Provider Enumeration Date | 11/01/2015 |
Last Update Date | 11/01/2015 |
Medicare PECOS PAC ID | 0749581262 |
---|---|
Medicare Enrollment ID | O20151229000083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750754610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0432682 (Kansas) | Primary |
Provider Name | Oswaldo C Bacani |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1467565879 PECOS PAC ID: 3779539655 Enrollment ID: I20050323001118 |
Provider Name | Jennifer Bacani Mckenney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689893448 PECOS PAC ID: 8123117298 Enrollment ID: I20071128000206 |
Provider Name | Jennifer R Eagleson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710350756 PECOS PAC ID: 2466754106 Enrollment ID: I20160112001590 |
Provider Name | Ashley J Houser |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013399773 PECOS PAC ID: 2062726110 Enrollment ID: I20170106000085 |
Provider Name | Lacey D Spohn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730607599 PECOS PAC ID: 8921374893 Enrollment ID: I20171019002987 |
Provider Name | Kyle K Wells |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831682293 PECOS PAC ID: 1153670682 Enrollment ID: I20200304002396 |
Ambrosio P Mendiola Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Madison St, Suite 3, Fredonia, KS 66736 Phone: 620-378-3700 Fax: 620-378-3536 | |
Drs. Morris & Hill Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1525 Madison St, Suite 2, Fredonia, KS 66736 Phone: 620-378-2068 Fax: 620-378-2312 | |
Fredonia Regional Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1525 Madison St Ste 2, Fredonia, KS 66736 Phone: 620-378-2068 Fax: 620-378-2312 |