Mr William S Wallace, APNP | |
700 W Central Ave, Suite 105, El Dorado, KS 67042-2184 | |
(316) 322-9813 | |
(316) 322-9806 |
Full Name | Mr William S Wallace |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 700 W Central Ave, El Dorado, 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 |
---|---|---|---|
1467429860 | NPI | - | NPPES |
PENDING | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | KS44943 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Mr William S Wallace, APNP 700 W Central Ave, Suite 105, El Dorado, KS 67042-2184 Ph: (316) 322-9813 | Mr William S Wallace, APNP 700 W Central Ave, Suite 105, El Dorado, KS 67042-2184 Ph: (316) 322-9813 |
Esther Nduta Waitherero, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1737 Se Us Highway 54, El Dorado, KS 67042 Phone: 316-321-7284 | |
Jennifer Ja Hughes, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 923 Walnut St, El Dorado, KS 67042 Phone: 316-303-5921 | |
Jamely Olaechea, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Central Ave, El Dorado, KS 67042 Phone: 316-452-5113 | |
Ms. Judith Haffner, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 W Central Ave, Suite 111, El Dorado, KS 67042 Phone: 316-321-5630 Fax: 316-320-0244 | |
Caitlin Jean Greene, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 S Haverhill Rd, El Dorado, KS 67042 Phone: 316-322-3371 | |
Ashley M Greer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 W Central Ave, El Dorado, KS 67042 Phone: 316-321-3300 | |
Tamara Anne Harper, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Central Ave, Suite 201, El Dorado, KS 67042 Phone: 316-321-2100 Fax: 316-321-0270 |