| Waverly Medical Clinic | |
|
302 Pearson Ave Waverly KS 66871 | |
| (785) 733-2867 | |
| (785) 733-2143 |
| Full Name | Waverly Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 Pearson Ave, Waverly, Kansas |
| Authorized Official Name and Position | Merri Michaels (BILLING MANAGER) |
| Authorized Official Contact | 6203642121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waverly Medical Clinic Po Box 289 Burlington KS 66839-0289 Ph: (620) 364-5395 | Waverly Medical Clinic 302 Pearson Ave Waverly KS 66871 Ph: (785) 733-2867 |
| NPI Number | 1578645628 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 01/15/2019 |
| Medicare PECOS PAC ID | 4981598653 |
|---|---|
| Medicare Enrollment ID | O20070312000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578645628 | NPI | - | NPPES |
| 100098740D | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Kansas) | Primary |
Coffey Counth Hospital Home Health Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Pearson Ave, Waverly, KS 66871 Phone: 785-733-2667 | |
Waverly Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Pearson Ave, Waverly, KS 66871 Phone: 785-733-2667 Fax: 785-733-2143 |