Dr Ozoemenam Immanuel Uketui, MD | |
1905 19th St, Great Bend, KS 67530-2502 | |
(620) 792-5700 | |
(620) 792-5742 |
Full Name | Dr Ozoemenam Immanuel Uketui |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1905 19th St, Great Bend, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700853926 | NPI | - | NPPES |
100288780D | Medicaid | KS | |
203062153 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R6P76 (Missouri) | Primary |
207Q00000X | Family Medicine | 0428643 (Kansas) | Secondary |
Entity Name | Kansas Carenow Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255883682 PECOS PAC ID: 8527340702 Enrollment ID: O20170124000398 |
Mailing Address | Practice Location Address |
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Dr Ozoemenam Immanuel Uketui, MD 1905 19th St, Great Bend, KS 67530-2502 Ph: (620) 792-5700 | Dr Ozoemenam Immanuel Uketui, MD 1905 19th St, Great Bend, KS 67530-2502 Ph: (620) 792-5700 |
Micca Schneider, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2511 Fax: 620-860-0619 | |
Perry M Smith, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1309 Polk St, Great Bend, KS 67530 Phone: 620-792-5341 Fax: 620-792-3702 | |
Jeffrey E Brozek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 Polk St, Great Bend, KS 67530 Phone: 620-792-5341 Fax: 620-792-3702 | |
Anna Dagg, Family Medicine Medicare: Medicare Enrolled Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2511 Fax: 620-860-0619 | |
Robert P Moser Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-603-7398 Fax: 620-796-2274 | |
Graeme M. Rodgman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3520 Lakin Ave, Great Bend, KS 67530 Phone: 620-792-3345 Fax: 620-792-3767 | |
Brenda Kay Dinges, APRN FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5815 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-7052 |