Dr Garry L Porter, MD | |
555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | |
(316) 652-2590 | |
(316) 652-2595 |
Full Name | Dr Garry L Porter |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 63 Years |
Location | 555 N Woodlawn St Ste 102, Wichita, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114921699 | NPI | - | NPPES |
100085320C | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 04-12872 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mental Health Association Of South Central Kansas, Inc. | 1153400197 | 6 |
Entity Name | Mental Health Association Of South Central Kansas, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689710568 PECOS PAC ID: 1153400197 Enrollment ID: O20110407000623 |
Mailing Address | Practice Location Address |
---|---|
Dr Garry L Porter, MD 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 Ph: (316) 652-2590 | Dr Garry L Porter, MD 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 Ph: (316) 652-2590 |
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 |