| Montoya Family Practice, Pa | |
|
8451 E Pawnee St Wichita KS 67207-5420 | |
| (316) 618-0035 | |
| (316) 618-0010 |
| Full Name | Montoya Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8451 E Pawnee St, Wichita, Kansas |
| Authorized Official Name and Position | Natalia Montoya (OWNER) |
| Authorized Official Contact | 3166180035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montoya Family Practice, Pa 8451 E Pawnee St Wichita KS 67207-5420 Ph: (316) 618-0035 | Montoya Family Practice, Pa 8451 E Pawnee St Wichita KS 67207-5420 Ph: (316) 618-0035 |
| NPI Number | 1265592232 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 02/03/2023 |
| Medicare PECOS PAC ID | 7416021589 |
|---|---|
| Medicare Enrollment ID | O20080807000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265592232 | NPI | - | NPPES |
| 103702 | Other | KS | MEDICARE PTAN |
| 111291 | Other | KS | BCBS |
| 200622560A | Medicaid | KS |
| Provider Name | Natalia A Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194791848 PECOS PAC ID: 6204819725 Enrollment ID: I20040608000055 |
| Provider Name | Taylor Schrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780323030 PECOS PAC ID: 1153787700 Enrollment ID: I20230524000564 |
| Provider Name | Audrey Wohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053046466 PECOS PAC ID: 6406200583 Enrollment ID: I20230922001723 |
| Provider Name | Madelaine Karanevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841056264 PECOS PAC ID: 9133566789 Enrollment ID: I20240319002318 |
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