| Manhattan Primary Care Llc | |
|
1133 College Ave Bldg A, Suite 211 Manhattan KS 66502-2770 | |
| (913) 642-4900 | |
| (913) 381-0979 |
| Full Name | Manhattan Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1133 College Ave, Manhattan, Kansas |
| Authorized Official Name and Position | Bradley K. Harrison (AUTHORIZED PARTNER) |
| Authorized Official Contact | 7853402598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manhattan Primary Care Llc 1133 College Ave Ste A211 Manhattan KS 66502-2751 Ph: (785) 320-5000 | Manhattan Primary Care Llc 1133 College Ave Bldg A, Suite 211 Manhattan KS 66502-2770 Ph: (913) 642-4900 |
| NPI Number | 1134554447 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8820224546 |
|---|---|
| Medicare Enrollment ID | O20131202000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134554447 | NPI | - | NPPES |
| 3000390801 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bradley K Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063553188 PECOS PAC ID: 3971782418 Enrollment ID: I20110128000967 |
| Provider Name | Kyle E Platz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932223690 PECOS PAC ID: 0446486179 Enrollment ID: I20131216001648 |
| Provider Name | Michelle R Oehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184167645 PECOS PAC ID: 7719237478 Enrollment ID: I20180830002405 |
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