| Pheasant Ridge Family Medicine, Llc | |
|
312 S Maple St Garnett KS 66032-1333 | |
| (785) 787-5050 | |
| Not Available |
| Full Name | Pheasant Ridge Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 312 S Maple St, Garnett, Kansas |
| Authorized Official Name and Position | Ross Kimball (PHYSICIAN) |
| Authorized Official Contact | 7857875050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pheasant Ridge Family Medicine, Llc 312 S Maple St Garnett KS 66032-1333 Ph: () - | Pheasant Ridge Family Medicine, Llc 312 S Maple St Garnett KS 66032-1333 Ph: (785) 787-5050 |
| NPI Number | 1023653789 |
|---|---|
| Provider Enumeration Date | 11/16/2019 |
| Last Update Date | 11/16/2019 |
| Medicare PECOS PAC ID | 9739513482 |
|---|---|
| Medicare Enrollment ID | O20200106000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023653789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ross M Kimball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982876512 PECOS PAC ID: 5092987826 Enrollment ID: I20111020000197 |
| Provider Name | Crystal Neises |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770020141 PECOS PAC ID: 5991080608 Enrollment ID: I20170321000414 |
Anderson County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 S Maple St # 309, Garnett, KS 66032 Phone: 785-448-3131 | |
Community Health Center Of Southeast Kansas, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 312 S Maple St, Garnett, KS 66032 Phone: 888-777-9170 | |
Family Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 536 W 4th Ave, Garnett, KS 66032 Phone: 785-448-2674 | |
Anderson County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 S Maple St, Garnett, KS 66032 Phone: 785-448-3131 |