Debra Moffitt, LSCSW | |
200 W Ross Blvd, Dodge City, KS 67801-7221 | |
(620) 371-7300 | |
(620) 371-7304 |
Full Name | Debra Moffitt |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 200 W Ross Blvd, Dodge City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386600781 | NPI | - | NPPES |
200366440A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1828 (Kansas) | Primary |
Entity Name | Minneola District Hospital Nbr 2 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376625749 PECOS PAC ID: 1355252545 Enrollment ID: O20050302000745 |
Entity Name | Minneola District Hospital Nbr 2 |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1013009828 PECOS PAC ID: 1355252545 Enrollment ID: O20070223000124 |
Mailing Address | Practice Location Address |
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Debra Moffitt, LSCSW 200 W Ross Blvd, Dodge City, KS 67801-7221 Ph: (620) 371-7300 | Debra Moffitt, LSCSW 200 W Ross Blvd, Dodge City, KS 67801-7221 Ph: (620) 371-7300 |
Mrs. Nancy L Thomas, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 Military, Dodge City, KS 67801 Phone: 620-227-7823 Fax: 620-225-0293 | |
Mr. Raymond Eugene Wilkerson, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11200 Lariat Way, Dodge City, KS 67801 Phone: 620-225-0276 Fax: 620-225-0279 | |
Stephen A Cagle, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-1650 Fax: 620-227-2505 | |
Ms. Teresa Jo Stuart, LSCSW, LCAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Military Ave, Suite 116, Dodge City, KS 67801 Phone: 620-338-2168 Fax: 620-225-1311 | |
Mr. Frank Benito Sumaya, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11200 Lariat Way, Dodge City, KS 67801 Phone: 620-225-0276 Fax: 620-225-1854 | |
Ms. Leatha J Benson, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11200 Lariat Way, Dodge City, KS 67801 Phone: 620-225-0276 Fax: 620-225-0279 |