Danielle Nicole Bedore, PA-C
Individual provider Active NPI Physician Assistant · Manhattan, KS
NPI 1124363387 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1124363387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-02336 (KS)
- Practice address
- 1823 College Ave
Manhattan, KS 66502-3381 - Phone
- (785) 323-6300
- Fax
- (785) 587-5486
- NPI assigned
- Nov 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Via Christi Hospital Manhattan Inc
Practice addresses (Care Compare)
1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322
930 Hayes Dr
Suite B
Manhattan, KS 66502-5721
Phone (785) 565-0016
Hospital & facility affiliations
- Ascension Via Christi Hospital Manhattan, Inc
- Clay County Medical Center
- Wamego Health Center
- Stormont Vail Health Flint Hills, LLC
- Community Memorial Healthcare, Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200616001839 | KS | Practitioner - Physician Assistant | 9830336866 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2219 | OK | MD | Chiropractor |
| 15-02336 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Hospital Manhattan, Inc. | Current |
Accepting new patients | |
| Stormont Vail Health Flint Hills LLC | Current | Accepting new patients | |
| Wamego Hospital Association | Current |
Accepting new patients | |
| Wamego Hospital Association | Current |
Accepting new patients | |
| Ascension Via Christi Hospital Manhattan, Inc. | Current |
Accepting new patients | |
| Ascension Via Christi Hospital Manhattan, Inc. | Physician Assistant | Current | Accepting new patients |
Locations
1110 Saint Marys Rd
Ste 308
Junction City, KS 66441
1110 Saint Marys Rd
Ste 201
Junction City, KS 66441
Phone (785) 762-4575
1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704
711 Genn Dr
Wamego, KS 66547
Phone (785) 456-2295
Interoperability endpoints
- danielle.bedore.1@20807.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-02336 | KS | Yes |
Addresses
Primary practice location
1823 College Ave
Manhattan, KS 66502-3381
Mailing address
1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 323-6300
Other names
- Danielle Nicole Butler
Other providers in Manhattan, KS
- Katharine Lacey Beaver
- Kristen Cora Beavers
- Bridget Bechard
- Bradley Joseph Beck
- Anne L. Becraft
- Fadi V Bedros
- Leslie Kay Begshaw Hall
- Nicole Beighle
- Brendan Bell
- Martin J Bell
All providers in Manhattan, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.