Mr Ilya O Stagner, FNP-C | |
300 Utah St, Hiawatha, KS 66434-2314 | |
(785) 742-6422 | |
Not Available |
Full Name | Mr Ilya O Stagner |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 300 Utah St, Hiawatha, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083376750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 80603 (Kansas) | Primary |
Entity Name | Hiawatha Hospital Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952485161 PECOS PAC ID: 9032007364 Enrollment ID: O20040309000220 |
Mailing Address | Practice Location Address |
---|---|
Mr Ilya O Stagner, FNP-C 611 Cherokee Ave, Hiawatha, KS 66434-1608 Ph: (816) 351-2897 | Mr Ilya O Stagner, FNP-C 300 Utah St, Hiawatha, KS 66434-2314 Ph: (785) 742-6422 |
Danielle A Jagels, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Utah St, 2nd Floor, Hiawatha, KS 66434 Phone: 785-742-2161 | |
Steven Henry Gunnells, CRNA, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Utah St, Hiawatha, KS 66434 Phone: 785-742-2131 Fax: 785-742-6588 | |
Arlene Renee Long, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 S 2nd St, Hiawatha, KS 66434 Phone: 785-742-7113 Fax: 785-742-3085 | |
Mrs. Katie Lynn Kettler, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Utah St, Hiawatha, KS 66434 Phone: 785-742-2131 Fax: 785-742-6504 | |
Tiffani L Bradbury, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Utah St, Hiawatha, KS 66434 Phone: 785-742-2131 Fax: 785-742-6558 | |
Monica Louise Scholz, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Utah St, Hiawatha, KS 66434 Phone: 785-742-2131 Fax: 785-742-6588 |