Mr Ian C Gingrich-gaylord, LCPC | |
1901 E 1st St, Newton, KS 67114-5010 | |
(316) 284-6361 | |
Not Available |
Full Name | Mr Ian C Gingrich-gaylord |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1901 E 1st St, Newton, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427367150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2192 (Kansas) | Primary |
Entity Name | Prairie View Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558426486 PECOS PAC ID: 5496652471 Enrollment ID: O20031217000711 |
Mailing Address | Practice Location Address |
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Mr Ian C Gingrich-gaylord, LCPC 1901 E 1st St, Newton, KS 67114-5010 Ph: (316) 284-6361 | Mr Ian C Gingrich-gaylord, LCPC 1901 E 1st St, Newton, KS 67114-5010 Ph: (316) 284-6361 |
Brian S Mills, PH.D., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2119 Bristol Ln, Newton, KS 67114 Phone: 316-217-1892 | |
Kimberly Brown, LAC, MPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E 5th St, Newton, KS 67114 Phone: 316-283-6743 | |
Julie Hendricks, TLAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E 5th St, Newton, KS 67114 Phone: 316-283-6743 Fax: 316-283-6830 | |
Jack Greever, LMSW. LMAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 N Duncan St, Newton, KS 67114 Phone: 785-230-7394 Fax: 785-267-0573 | |
Mr. Zane Daniel Raber, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St Ste 154, Newton, KS 67114 Phone: 316-227-0431 Fax: 888-751-5997 | |
Beverly Metcalf, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E 5th St, Newton, KS 67114 Phone: 316-283-6743 Fax: 316-283-6830 | |
Mr. John Gilbert, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E 5th St, Newton, KS 67114 Phone: 316-283-6743 Fax: 316-283-6830 |