| Pittsburg Internal Medicine, P.a. | |
|
2401 S Tucker Ave Ste 1 Pittsburg KS 66762-6619 | |
| (620) 231-1650 | |
| (620) 231-1685 |
| Full Name | Pittsburg Internal Medicine, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2401 S Tucker Ave Ste 1, Pittsburg, Kansas |
| Authorized Official Name and Position | Kristy D Swartz (OFFICE MANAGER) |
| Authorized Official Contact | 6202311650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pittsburg Internal Medicine, P.a. 2401 S Tucker Ave Ste 1 Pittsburg KS 66762-6619 Ph: (620) 231-1650 | Pittsburg Internal Medicine, P.a. 2401 S Tucker Ave Ste 1 Pittsburg KS 66762-6619 Ph: (620) 231-1650 |
| NPI Number | 1588719991 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 9335032937 |
|---|---|
| Medicare Enrollment ID | O20040206000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588719991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark D Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184736498 PECOS PAC ID: 2264479310 Enrollment ID: I20050411001155 |
| Provider Name | Jessica Jo Crager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679103642 PECOS PAC ID: 2365871290 Enrollment ID: I20200511000777 |
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