Heather Licke, MD | |
221 W 1st St, Saint Francis, KS 67756-3540 | |
(785) 332-2682 | |
(785) 332-2516 |
Full Name | Heather Licke |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 14 Years |
Location | 221 W 1st St, Saint Francis, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093026429 | NPI | - | NPPES |
1093026429 | Other | KS | BCBS |
30004035620005 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7525 (Kansas) | Secondary |
207Q00000X | Family Medicine | 0435055 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Good Samaritan Society Northwest Kansas Home Care | St francis, KS | Home health agency |
L & C Home Health Agency Inc | Colby, KS | Home health agency |
Hospice Services Inc | Phillipsburg, KS | Hospice |
Cheyenne County Hospital | St francis, KS | Hospital |
Goodland Regional Medical Center | Goodland, KS | Hospital |
Hays Medical Center | Hays, KS | Hospital |
Citizens Medical Center | Colby, KS | Hospital |
Cheyenne County Village Inc | St francis, KS | Nursing home |
Topside Manor Inc | Goodland, KS | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Plains Of Cheyenne Co Inc | 7517958523 | 9 |
Entity Name | Great Plains Of Cheyenne Co Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982644936 PECOS PAC ID: 7517958523 Enrollment ID: O20040519001000 |
Entity Name | Great Plains Of Cheyenne Co Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1992736458 PECOS PAC ID: 7517958523 Enrollment ID: O20061104000678 |
Entity Name | Above All Care Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477049328 PECOS PAC ID: 0840537106 Enrollment ID: O20190124000254 |
Mailing Address | Practice Location Address |
---|---|
Heather Licke, MD 221 W 1st St, Saint Francis, KS 67756-3540 Ph: (785) 332-2682 | Heather Licke, MD 221 W 1st St, Saint Francis, KS 67756-3540 Ph: (785) 332-2682 |
Dr. Benjamin Charles Bosen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W 1st St, Saint Francis, KS 67756 Phone: 785-332-2682 | |
Brian Joseph Jennings, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 W 1st St, Saint Francis, KS 67756 Phone: 785-332-2104 Fax: 785-332-3255 |