Kathleen D Mammen, APRN FNP BC | |
825 Euclid Ave, Kansas City, MO 64124-2323 | |
(816) 889-4614 | |
(816) 889-4847 |
Full Name | Kathleen D Mammen |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 825 Euclid Ave, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114948627 | NPI | - | NPPES |
3046869 00 | Medicaid | FL | |
421441304 | Medicaid | MO | |
C16E724 | Other | MO | MEDICARE B WHEATLANDS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2005017142 (Missouri) | Primary |
Entity Name | Heartland Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861511859 PECOS PAC ID: 5991776122 Enrollment ID: O20040803000213 |
Mailing Address | Practice Location Address |
---|---|
Kathleen D Mammen, APRN FNP BC 825 Euclid Ave, Kansas City, MO 64124-2323 Ph: (816) 889-4614 | Kathleen D Mammen, APRN FNP BC 825 Euclid Ave, Kansas City, MO 64124-2323 Ph: (816) 889-4614 |
Natalie Christine Lickteig, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13101 State Line Rd, Kansas City, MO 64145 Phone: 816-942-2438 | |
Sean M Ryan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Blue Pkwy, Kansas City, MO 64130 Phone: 816-923-5800 Fax: 816-922-7637 | |
Jennifer Bitner, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 913-234-3000 | |
Hannah Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-4070 Fax: 816-404-4075 | |
Randyn Wertz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7130 Wornall Rd, Kansas City, MO 64114 Phone: 816-523-9355 Fax: 816-523-9358 | |
Sarah Wakat, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4330 Wornall Rd Ste 2000, Kansas City, MO 64111 Phone: 816-931-1883 | |
Scarlett Wohlleber, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4321 Washington St Ste 3000, Kansas City, MO 64111 Phone: 816-932-3100 |