Mr Jodi Henrikson, MD | |
514 Cleveland St, Medical Pavilion, Great Bend, KS 67530-3562 | |
(620) 792-2151 | |
(620) 860-0305 |
Full Name | Mr Jodi Henrikson |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 25 Years |
Location | 514 Cleveland St, Great Bend, 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 |
---|---|---|---|
1821063652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 04-30709 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Ks Hlth System Great Bend Campus | Great bend, KS | Hospital |
Clara Barton Hospital | Hoisington, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ukhs Great Bend Llc | 5597016378 | 68 |
Entity Name | Ukhs Great Bend Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962997197 PECOS PAC ID: 5597016378 Enrollment ID: O20180918000770 |
Mailing Address | Practice Location Address |
---|---|
Mr Jodi Henrikson, MD 514 Cleveland St, Medical Pavilion, Great Bend, KS 67530-3562 Ph: (620) 792-2151 | Mr Jodi Henrikson, MD 514 Cleveland St, Medical Pavilion, Great Bend, KS 67530-3562 Ph: (620) 792-2151 |
Veerayyagari Annapurna, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 514 Cleveland St, Medical Pavilion, Great Bend, KS 67530 Phone: 620-792-2151 Fax: 620-860-0305 | |
Dr. Roger Wayne Marshall, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 514 Cleveland St, Great Bend, KS 67530 Phone: 620-792-2151 Fax: 620-793-9399 |