Constance Jacob, APRN | |
1919 N Amidon Ave Ste 130, Wichita, KS 67203-2118 | |
(316) 660-7675 | |
(316) 941-5075 |
Full Name | Constance Jacob |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1919 N Amidon Ave Ste 130, Wichita, 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 |
---|---|---|---|
1639729726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 78963 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psych-aprn Llc | 1850781287 | 3 |
County Of Sedgwick | 2961304779 | 21 |
Entity Name | County Of Sedgwick |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629281373 PECOS PAC ID: 2961304779 Enrollment ID: O20040122000873 |
Entity Name | Psych-aprn Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083378228 PECOS PAC ID: 1850781287 Enrollment ID: O20211129001949 |
Entity Name | Luminary Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437866084 PECOS PAC ID: 2365814142 Enrollment ID: O20230203000583 |
Mailing Address | Practice Location Address |
---|---|
Constance Jacob, APRN 271 W 3rd St N Ste 600, Wichita, KS 67202-1223 Ph: (316) 660-7600 | Constance Jacob, APRN 1919 N Amidon Ave Ste 130, Wichita, KS 67203-2118 Ph: (316) 660-7675 |
Mavis A Schultz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 N Hillside St, Wichita, KS 67219 Phone: 316-682-3100 Fax: 316-618-8537 | |
Jacob Loveless, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 N Emporia St Ste 200, Wichita, KS 67214 Phone: 316-263-0296 | |
Amanda Barrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 E 21st St N, Wichita, KS 67214 Phone: 316-691-0249 | |
Mr. Norman Keith Trevolt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 848 N. St Francis, Ste 3901, Wichita, KS 67214 Phone: 316-268-8500 Fax: 316-291-7993 | |
Kathryn M Filby, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside, Wichita, KS 67214 Phone: 316-962-8580 Fax: 316-962-8581 | |
Ms. Shirley Rae Parish, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 E Sunnybrook Ln, Suite C, Wichita, KS 67210 Phone: 316-651-0062 | |
Dawn M Schake, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9350 E 35th St N Ste 101, Wichita, KS 67226 Phone: 316-265-1308 Fax: 316-265-4480 |