<unavail> in Liberal, KS - Medicare Clinic/Center

is a medicare enrolled mental health clinic (Clinic/center - Primary Care) in Liberal, Kansas. The current practice location for is 1031 N Kansas Ave, Liberal, Kansas. For appointments, you can reach them via phone at (620) 649-2505. The mailing address for is 2524 N Broadway Ste 554, Edmond, Oklahoma and phone number is (620) 649-2505.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1528725363. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (620) 649-2505.

Contact Information


	1031 N Kansas Ave Liberal KS 67901
	(620) 649-2505
	(669) 204-0329

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1031 N Kansas Ave, Liberal, Kansas
Authorized Official Name and Position	Lacy Smith (APRN)
Authorized Official Contact	6206492505
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2524 N Broadway Ste 554 Edmond OK 73034-4199 Ph: (620) 649-2505	1031 N Kansas Ave Liberal KS 67901 Ph: (620) 649-2505

NPI Details:

NPI Number	1528725363
Provider Enumeration Date	11/29/2021
Last Update Date	12/03/2024
Certification Date	12/02/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2567848120
Medicare Enrollment ID	O20221005000391

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528725363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Lacy Smith
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1992358378 PECOS PAC ID: 5193143121 Enrollment ID: I20200908002311

Reviews and Comments

Clinic/Center in Liberal, KS

Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 N Washington Ave, Liberal, KS 67901 Phone: 620-626-3284
Sue Dowd Phd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Kansas Ave, Suite A104, Liberal, KS 67901 Phone: 620-624-2900 Fax: 620-624-4050
Southwest Guidance Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 W 15th St, Liberal, KS 67901 Phone: 620-624-8171 Fax: 620-624-0114
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6578 Fax: 620-629-2472
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N Kansas Ave Ste B, Liberal, KS 67901 Phone: 620-604-5111 Fax: 855-687-2518
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W 15th Street, Liberal, KS 67901 Phone: 620-624-1651 Fax: 620-629-2474
Coffee Talk Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 21 Plaza Dr Ste 7, Liberal, KS 67901 Phone: 575-708-0202

- Medicare Mental Health Clinic in Liberal, KS