Marcus Herrera, | |
2008 11th St, Great Bend, KS 67530-4476 | |
(620) 793-3164 | |
(620) 793-3161 |
Full Name | Marcus Herrera |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2008 11th St, Great Bend, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629523386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2999 (Kansas) | Primary |
Entity Name | The Clara Barton Hospital Association Inc Hoisington Kansas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114964111 PECOS PAC ID: 6709798622 Enrollment ID: O20040120001002 |
Entity Name | Avenues For Change |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114630076 PECOS PAC ID: 3577003466 Enrollment ID: O20240905004630 |
Mailing Address | Practice Location Address |
---|---|
Marcus Herrera, 2008 11th St, Great Bend, KS 67530-4476 Ph: (620) 793-3164 | Marcus Herrera, 2008 11th St, Great Bend, KS 67530-4476 Ph: (620) 793-3164 |
Charity Ann Muth, LCAC/LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1916 16th St, Great Bend, KS 67530 Phone: 620-792-5405 | |
Ashley Kathryn Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 Harding St, Great Bend, KS 67530 Phone: 316-429-8678 | |
Mrs. Carol Louise Dellinger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Ne 30 Rd, Great Bend, KS 67530 Phone: 620-792-9295 Fax: 620-792-3238 | |
Sherry K Pruter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Se 1 Ave, Great Bend, KS 67530 Phone: 620-786-7105 | |
Drew Andrew Hosman Sr., LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1105 Main St Ste D, Great Bend, KS 67530 Phone: 620-282-7755 | |
Alisha Bell-markley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1819 11th St, Great Bend, KS 67530 Phone: 620-603-6257 Fax: 620-603-6259 | |
Laura N Haugaard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5815 Broadway, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-7052 |