Paul Halderson, - Medicare Physician Assistant in Kingman, KS

Paul Halderson, is a medicare enrolled "Physician Assistant" in Kingman, Kansas. His current practice location is 750 W D Ave, Kingman, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 532-3147.

Paul Halderson is licensed to practice in Kansas (license number 15-01738) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649671710.

Contact Information

Paul Halderson,
750 W D Ave,
Kingman, KS 67068-1266
(620) 532-3147
(620) 532-0167



Provider's Profile

Full NamePaul Halderson
GenderMale
SpecialityPhysician Assistant
Location750 W D Ave, Kingman, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649671710
  • Provider Enumeration Date: 09/09/2014
  • Last Update Date: 11/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042431926
  • Enrollment ID: I20141017000343

Medical Identifiers

Medical identifiers for Paul Halderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649671710NPI-NPPES
30003916630001MedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 15-01738 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Halderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul Halderson,
750 W D Ave,
Kingman, KS 67068-1266

Ph: (620) 532-3147
Paul Halderson,
750 W D Ave,
Kingman, KS 67068-1266

Ph: (620) 532-3147

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Physician Assistant Nurses in Kingman, KS

Tyler J Antenen, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 750 W D Ave, Kingman, KS 67068
Phone: 620-532-0295    Fax: 855-483-0002
Mr. Jeffery Leonard Henderson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 701 E A Ave, Kingman, KS 67068
Phone: 620-532-5145    Fax: 620-532-2586
Dennis Kalmar, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 750 W D Ave, Kingman, KS 67068
Phone: 620-532-0295    Fax: 855-483-0002
Mr. Carl Lee Green, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 750 W D Ave, Kingman, KS 67068
Phone: 620-532-3147    
Kathryn A Kimpler, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 701 E A Ave, Kingman, KS 67068
Phone: 620-532-5145    Fax: 620-532-2478
Mr. Leroy E Shugart, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 750 W D Ave, Kingman, KS 67068
Phone: 620-532-3147    Fax: 620-532-3147

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