Jose Luis Renteria, ACNP | |
1905 19th St, Great Bend, KS 67530-2502 | |
(620) 792-5700 | |
Not Available |
Full Name | Jose Luis Renteria |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1905 19th St, Great Bend, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053704361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 53-76710-092 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rawlins County Health Center | Atwood, KS | Hospital |
Phillips County Hospital | Phillipsburg, KS | Hospital |
Hodgeman County Health Center | Jetmore, KS | Hospital |
Ellinwood District Hospital | Ellinwood, KS | Hospital |
Trego County Lemke Memorial Hospital | Wa keeney, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Plains Of Ellinwood Inc | 5092627539 | 7 |
Great Plains Of Cheyenne Co Inc | 7517958523 | 9 |
Rawlins County Health Center | 4688585151 | 7 |
Hodgeman County Health Center | 5799696894 | 7 |
Phillips County Hospital | 7012231251 | 13 |
Great Plains Of Cheyenne Co Inc | 7517958523 | 9 |
Entity Name | Lincoln County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1942265327 PECOS PAC ID: 0941118061 Enrollment ID: O20030908000008 |
Entity Name | Hodgeman County Health Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1821098252 PECOS PAC ID: 5799696894 Enrollment ID: O20030922000040 |
Entity Name | Great Plains Of Ellinwood Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225040256 PECOS PAC ID: 5092627539 Enrollment ID: O20031103000510 |
Entity Name | Pratt Regional Medical Center Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578596904 PECOS PAC ID: 1355253238 Enrollment ID: O20040419001344 |
Entity Name | Hospital District No. 6 Of Harper County Kansas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467427674 PECOS PAC ID: 3779571906 Enrollment ID: O20040505000589 |
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 | Rawlins County Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306883046 PECOS PAC ID: 4688585151 Enrollment ID: O20040728001037 |
Entity Name | Hodgeman County Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821098252 PECOS PAC ID: 5799696894 Enrollment ID: O20041012000779 |
Entity Name | County Of Lane |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407811227 PECOS PAC ID: 1557314358 Enrollment ID: O20050221000727 |
Entity Name | Cloud County Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003950189 PECOS PAC ID: 4082522859 Enrollment ID: O20050222000898 |
Entity Name | Lincoln County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841248952 PECOS PAC ID: 0941118061 Enrollment ID: O20050225000744 |
Entity Name | Ashland District Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073686002 PECOS PAC ID: 6800849324 Enrollment ID: O20050228000908 |
Entity Name | St. Catherine Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659360196 PECOS PAC ID: 4789595844 Enrollment ID: O20050302000707 |
Entity Name | Minneola District Hospital Nbr 2 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376625749 PECOS PAC ID: 1355252545 Enrollment ID: O20050302000745 |
Entity Name | Ness County Hospital District #2 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962439943 PECOS PAC ID: 6608844022 Enrollment ID: O20060116000226 |
Entity Name | Ashland District Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1265529614 PECOS PAC ID: 6800849324 Enrollment ID: O20061104000460 |
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 | Minneola District Hospital Nbr 2 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1013009828 PECOS PAC ID: 1355252545 Enrollment ID: O20070223000124 |
Entity Name | Clay County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134163389 PECOS PAC ID: 6901959436 Enrollment ID: O20091020000184 |
Entity Name | Rooks County Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841570298 PECOS PAC ID: 8325959331 Enrollment ID: O20111025000737 |
Entity Name | Phillips County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1639268246 PECOS PAC ID: 7012231251 Enrollment ID: O20150312000590 |
Entity Name | Phillips County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366499717 PECOS PAC ID: 7012231251 Enrollment ID: O20150706002040 |
Mailing Address | Practice Location Address |
---|---|
Jose Luis Renteria, ACNP 1718 Odell St, Great Bend, KS 67530-2419 Ph: (620) 786-8783 | Jose Luis Renteria, ACNP 1905 19th St, Great Bend, KS 67530-2502 Ph: (620) 792-5700 |
Mrs. Jacquelyn Rene Forssberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Eisenhower Ave, Great Bend, KS 67530 Phone: 620-792-5437 | |
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 |