Alisha Coulson, MD | |
9333 E 21st St N, Wichita, KS 67206-2927 | |
(316) 634-4700 | |
(316) 634-4770 |
Full Name | Alisha Coulson |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 9333 E 21st St N, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386931038 | NPI | - | NPPES |
201114270A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 7752 (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 |
Entity Name | Salina Regional Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619952785 PECOS PAC ID: 0446168215 Enrollment ID: O20040130000800 |
Mailing Address | Practice Location Address |
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Alisha Coulson, MD Po Box 467, Newton, KS 67114-0467 Ph: (316) 284-6400 | Alisha Coulson, MD 9333 E 21st St N, Wichita, KS 67206-2927 Ph: (316) 634-4700 |
Javanthi Theegala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Austin Armstrong, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647 | |
Dr. Gilmar Costa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Dr. Pete Haynes, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Mercedes J Perales, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9333 E 21st St N, Wichita, KS 67206 Phone: 316-634-4700 Fax: 316-634-4770 | |
Anthony Shaw, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647 | |
Elisa Pallares Vela, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 |