Bethelem Wondimu Bedasso, | |
7450 Quivira Rd, Shawnee, KS 66216-3526 | |
(913) 706-2508 | |
Not Available |
Full Name | Bethelem Wondimu Bedasso |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 7450 Quivira Rd, Shawnee, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073397642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53-82444-092 (Kansas) | Primary |
Entity Name | Med Management Of Kansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942800859 PECOS PAC ID: 8325459159 Enrollment ID: O20201130000259 |
Entity Name | Mokscare Family Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952032054 PECOS PAC ID: 2961871108 Enrollment ID: O20221212000613 |
Mailing Address | Practice Location Address |
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Bethelem Wondimu Bedasso, 7450 Quivira Rd, Shawnee, KS 66216-3526 Ph: (913) 706-2508 | Bethelem Wondimu Bedasso, 7450 Quivira Rd, Shawnee, KS 66216-3526 Ph: (913) 706-2508 |
Marta Beshe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5818 Theden St, Shawnee, KS 66218 Phone: 913-271-9429 | |
Stephanie Ann Ho, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22104 W 51st Ter, Shawnee, KS 66226 Phone: 785-979-3047 | |
Mrs. Stefani Lim, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10824 Shawnee Mission Parkway, Shawnee, KS 66203 Phone: 913-297-7472 Fax: 913-248-7631 | |
Wesley Howard Thompson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7230 Renner Rd, Shawnee, KS 66217 Phone: 913-962-2122 | |
Marisa Lynn Burdolski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5900 Nieman Rd Ste 300, Shawnee, KS 66203 Phone: 913-515-7859 Fax: 877-569-3050 | |
Jennifer Sue Terrien, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7450 Quivira Rd, Shawnee, KS 66216 Phone: 913-706-2508 |