|
| |
|
1431 S Bluffview Dr Ste 210 Wichita KS 67218-3039 | |
| (316) 789-6049 | |
| (316) 867-6365 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1431 S Bluffview Dr Ste 210, Wichita, Kansas |
| Authorized Official Name and Position | Matthew L Bezzant (PRESIDENT) |
| Authorized Official Contact | 3167896049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1431 S Bluffview Dr Ste 210 Wichita KS 67218-3039 Ph: (316) 789-6049 | 1431 S Bluffview Dr Ste 210 Wichita KS 67218-3039 Ph: (316) 789-6049 |
| NPI Number | 1164292090 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 12/19/2024 |
| Medicare PECOS PAC ID | 9234581588 |
|---|---|
| Medicare Enrollment ID | O20240123000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164292090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew Linden Bezzant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659733277 PECOS PAC ID: 8224399332 Enrollment ID: I20240123000697 |
Form Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Douglas Ave Fl 2, Wichita, KS 67202 Phone: 617-505-1520 | |
Primary Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7111 E 21st St N Ste A, Wichita, KS 67206 Phone: 316-684-2851 | |
Substance Abuse At Hunter Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2318 E Central Ave, Wichita, KS 67214 Phone: 316-262-3611 Fax: 316-262-0741 | |
Robert A Sweet Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 N Cypress Dr, Suite 100, Wichita, KS 67226 Phone: 316-260-4747 | |
World Impact, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 E 13th St N, #400, Wichita, KS 67208 Phone: 316-682-1880 |