| Premonition Health | |
|
1431 S Bluffview Dr Ste 210 Wichita KS 67218-3039 | |
| (316) 789-6049 | |
| (352) 329-4315 |
| Full Name | Premonition Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 1431 S Bluffview Dr Ste 210, Wichita, Kansas |
| Authorized Official Name and Position | Matthew L Bezzant (PRESIDENT) |
| Authorized Official Contact | 7203349022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premonition Health 2601 S Clear Creek St Wichita KS 67230-7269 Ph: (316) 789-6049 | Premonition Health 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 | 05/18/2024 |
| 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 |
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