Michelle Van Der Wege, | |
522 Broadway St, Larned, KS 67550-3042 | |
(620) 804-6100 | |
(620) 804-6055 |
Full Name | Michelle Van Der Wege |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 522 Broadway St, Larned, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700236114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 77268 (Kansas) | Primary |
Entity Name | Heart Of Kansas Family Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184739443 PECOS PAC ID: 4486565181 Enrollment ID: O20040228000455 |
Mailing Address | Practice Location Address |
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Michelle Van Der Wege, 1905 19th St, Great Bend, KS 67530-2502 Ph: (620) 792-5700 | Michelle Van Der Wege, 522 Broadway St, Larned, KS 67550-3042 Ph: (620) 804-6100 |
Kara L Keenan, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 713 W 11th St, Larned, KS 67550 Phone: 620-804-6007 Fax: 620-285-6195 | |
Joelle Prescott, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Ks Highway 264, Larned, KS 67550 Phone: 620-285-4580 Fax: 620-285-4381 | |
April Corellia Bradshaw, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Ks Highway 264, 1301 Ks Highway 264, Larned, KS 67550 Phone: 620-285-4580 | |
Logan Duerksen, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 713 W 11th St, Larned, KS 67550 Phone: 620-804-6007 | |
Rita Doris Rogers, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Ks Highway 264, Larned, KS 67550 Phone: 620-804-2805 | |
Susan Aistrup, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 713 W 11th St, Larned, KS 67550 Phone: 620-804-6007 | |
Brooke Henning, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 K264 Hwy, Larned, KS 67550 Phone: 620-804-0189 |