Dr Jessilyn Ranae Humble, MD | |
2711 S Rouse St Ste B, Pittsburg, KS 66762-6621 | |
(620) 235-7612 | |
(620) 235-7613 |
Full Name | Dr Jessilyn Ranae Humble |
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Gender | Female |
Speciality | Pediatrics |
Location | 2711 S Rouse St Ste B, Pittsburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740541234 | NPI | - | NPPES |
201118970A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 04-38113 (Kansas) | Primary |
Entity Name | Ascension Via Christi Hospital Pittsburg, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760408975 PECOS PAC ID: 0547171670 Enrollment ID: O20031105000718 |
Mailing Address | Practice Location Address |
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Dr Jessilyn Ranae Humble, MD 2711 S Rouse St Ste B, Pittsburg, KS 66762-6621 Ph: (620) 235-7612 | Dr Jessilyn Ranae Humble, MD 2711 S Rouse St Ste B, Pittsburg, KS 66762-6621 Ph: (620) 235-7612 |
Dr. Casey Virginia Hudson, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 Fax: 859-372-5004 | |
Susan Louise Mcnaughton Pence, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9879 Fax: 620-231-5062 | |
Krista Lynn Williams-mijares, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 Fax: 620-231-2808 | |
Alicia Loch Pino, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 | |
Roylan James Mcdaniel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 S Tucker Ave Ste 4, Pittsburg, KS 66762 Phone: 620-231-2490 Fax: 620-231-3920 |