El Dorado Clinic, P.a.
A Medicare group practice based in El Dorado, KS: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7911944897), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7911944897
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- KS
- Enrollments
- 2
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050412000999 | KS | Part B Supplier - Clinic/Group Practice | 1770559767 |
| O20101122001353 | KS | Part A Provider - Rural Health Clinic | 1780787176 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
El Dorado Clinic, P.a.
- Family Medicine Physician
- El Dorado, KS
- NPI 1770559767
-
El Dorado Clinic, P.a.
- Rural Health Clinic/Center
- El Dorado, KS
- NPI 1780787176
Practice locations
- El Dorado, KS2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).
-
Crystal D Faudere, D.O.
- Family Medicine Physician
- El Dorado, KS
- NPI 1083685291
-
Sondra Kay Ferguson, APRN
- Family Nurse Practitioner
- Wichita, KS
- NPI 1740783018
-
Lauren B Ferrell, M.D.
- Family Medicine Physician
- Salina, KS
- NPI 1518345537
-
Russell R McCaig, P.A.
- Physician Assistant
- El Dorado, KS
- NPI 1013983949
-
Alexa Paige McGraw, ARNP
- Family Nurse Practitioner
- Wichita, KS
- NPI 1639884612
-
Diane D Nightengale, M.D.
- Family Medicine Physician
- El Dorado, KS
- NPI 1265423149
-
Aubrey Shea Ralston, M.D.
- General Practice Physician
- El Dorado, KS
- NPI 1053706655
-
Courtney Tenille Schwanke, PA-C
- Physician Assistant
- El Dorado, KS
- NPI 1225430895
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.