| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 411 Sunset, Elkhart, Kansas |
| Authorized Official Name and Position | Leonard Hernandez (CEO) |
| Authorized Official Contact | 6206972175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
411 Sunset Po Box 460 Elkhart KS 67950 Ph: (620) 697-2175 | 411 Sunset Elkhart KS 67950 Ph: (620) 697-2175 |
| NPI Number | 1700831229 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 05/13/2011 |
| Medicare PECOS PAC ID | 5395644637 |
|---|---|
| Medicare Enrollment ID | O20040322001238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700831229 | NPI | - | NPPES |
| 100087540C | Medicaid | KS |
| Provider Name | Charles E Frankum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184671927 PECOS PAC ID: 5890788459 Enrollment ID: I20040520000571 |
| Provider Name | Jeanette Weiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528062262 PECOS PAC ID: 6901875491 Enrollment ID: I20041119000470 |
| Provider Name | Brett A Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972578961 PECOS PAC ID: 2264457977 Enrollment ID: I20051012000269 |
| Provider Name | Jennifer K Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659625523 PECOS PAC ID: 8729224464 Enrollment ID: I20130424000862 |
| Provider Name | Heidy Brillhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699002253 PECOS PAC ID: 0749311512 Enrollment ID: I20150212000711 |
| Provider Name | Rachel M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609257708 PECOS PAC ID: 0244542884 Enrollment ID: I20150709002679 |
| Provider Name | Carey J Wettstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501418 PECOS PAC ID: 2365734100 Enrollment ID: I20170221000365 |
| Provider Name | Casey J Wettstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962854604 PECOS PAC ID: 2668756560 Enrollment ID: I20170227001886 |
| Provider Name | Vincent O Mogoi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386181832 PECOS PAC ID: 5294010070 Enrollment ID: I20170317000112 |
| Provider Name | Lindsay D Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710521869 PECOS PAC ID: 7315376704 Enrollment ID: I20200406003137 |
| Provider Name | Dana Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285224907 PECOS PAC ID: 4981010972 Enrollment ID: I20210317002264 |
| Provider Name | Randall G Hinkson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144817529 PECOS PAC ID: 0941617971 Enrollment ID: I20210318001537 |
| Provider Name | Anjali Giri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437765013 PECOS PAC ID: 8921404807 Enrollment ID: I20210831003366 |
| Provider Name | Gregory A. Esparza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144754953 PECOS PAC ID: 4880963966 Enrollment ID: I20221114001572 |
| Provider Name | Robin Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538738331 PECOS PAC ID: 4688826175 Enrollment ID: I20230413002779 |
| Provider Name | Brett A Burnett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871813402 PECOS PAC ID: 9739323908 Enrollment ID: I20240122003031 |
| Provider Name | Christian S Forrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992818116 PECOS PAC ID: 2466577754 Enrollment ID: I20240605002530 |
| Provider Name | Cynthia A Simmons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578542874 PECOS PAC ID: 7719878685 Enrollment ID: I20240724003174 |
| Provider Name | Morium Chowdhury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720223415 PECOS PAC ID: 6507166683 Enrollment ID: I20240904000794 |
| Provider Name | Matthew E Bowles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760465041 PECOS PAC ID: 5799847513 Enrollment ID: I20241121000487 |
Dominador T. Perido Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Sunset, Elkhart, KS 67950 Phone: 620-697-2155 Fax: 620-697-4275 | |
Satanta District Hospital And Long-term Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Morton St, Elkhart, KS 67950 Phone: 620-649-2761 Fax: 620-649-2761 | |
Main Street Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Morton Street, Elkhart, KS 67950 Phone: 806-236-6840 | |