Ashley L Grant, | |
5815 Broadway Ave, Great Bend, KS 67530-3197 | |
(620) 792-2544 | |
(620) 792-7052 |
Full Name | Ashley L Grant |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5815 Broadway Ave, 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 |
---|---|---|---|
1891448049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53-80787 (Kansas) | Primary |
Entity Name | Center For Counseling And Consultation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104862549 PECOS PAC ID: 2961458518 Enrollment ID: O20050325000690 |
Mailing Address | Practice Location Address |
---|---|
Ashley L Grant, 5815 Broadway Ave, Great Bend, KS 67530-3197 Ph: (620) 792-2544 | Ashley L Grant, 5815 Broadway Ave, Great Bend, KS 67530-3197 Ph: (620) 792-2544 |
Mrs. Jacquelyn Rene Forssberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Eisenhower Ave, Great Bend, KS 67530 Phone: 620-792-5437 | |
Jose Luis Renteria, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1905 19th St, Great Bend, KS 67530 Phone: 620-792-5700 | |
Maria Antonia Villanueva, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1905 19th St, Great Bend, KS 67530 Phone: 620-792-5700 | |
Aimee Marie Wyant, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2511 Fax: 620-786-6262 | |
Amanda Gail Lakin, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2008 11th St, Great Bend, KS 67530 Phone: 620-796-2788 Fax: 620-796-2789 | |
Peter Mick, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 Cleveland St, Great Bend, KS 67530 Phone: 620-792-8833 | |
Hannah Linenberger, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 Cleveland St, Great Bend, KS 67530 Phone: 620-792-8833 |