Great Plains Of Republic Co., Inc. | |
2420 G St, Belleville, KS 66935-2400 | |
(785) 527-2254 | |
(785) 527-2800 |
Full Name | Great Plains Of Republic Co., Inc. |
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Type | Facility |
Speciality | General Practice |
Location | 2420 G St, Belleville, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932122215 | NPI | - | NPPES |
111088 | Other | KS | BLUE SHIELD OF KANSAS |
100409140B | Medicaid | KS | |
012262 | Other | KS | BLUE SHIELD OF KS |
Provider Name | Nolan Jackson Beavers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104921782 PECOS PAC ID: 0143213637 Enrollment ID: I20040408000689 |
Provider Name | David L Samani |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1497851547 PECOS PAC ID: 8325008824 Enrollment ID: I20041018001082 |
Provider Name | Lori Rhine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588823322 PECOS PAC ID: 1658445945 Enrollment ID: I20080805000273 |
Provider Name | Briana L Jensen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700235850 PECOS PAC ID: 8426342437 Enrollment ID: I20160812001284 |
Provider Name | Ken H Baxa |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1386020741 PECOS PAC ID: 1557666096 Enrollment ID: I20200610001200 |
Provider Name | Kurtis W Klecan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154854008 PECOS PAC ID: 0244508273 Enrollment ID: I20200817001872 |
Provider Name | Lauren L Eitzmann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053993832 PECOS PAC ID: 6406255249 Enrollment ID: I20210526003362 |
Provider Name | Joshua Chapman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689178956 PECOS PAC ID: 6305221896 Enrollment ID: I20220920001434 |
Provider Name | Terah Isaacson |
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Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1023220316 PECOS PAC ID: 3072769207 Enrollment ID: I20230303000424 |
Mailing Address | Practice Location Address |
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Great Plains Of Republic Co., Inc. 2420 G St, Belleville, KS 66935-2400 Ph: (785) 527-2254 | Great Plains Of Republic Co., Inc. 2420 G St, Belleville, KS 66935-2400 Ph: (785) 527-2254 |