Mrs Sarah Wallace, | |
390 Limit St, Leavenworth, KS 66048-4525 | |
(913) 651-2323 | |
Not Available |
Full Name | Mrs Sarah Wallace |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 390 Limit St, Leavenworth, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568850006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 76650 (Kansas) | Primary |
Entity Name | Saint Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20050302000266 |
Entity Name | Compassionate Family Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518250794 PECOS PAC ID: 6507022183 Enrollment ID: O20120726000111 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sarah Wallace, 18714 W 163rd Ter, Olathe, KS 66062-2786 Ph: (785) 249-4676 | Mrs Sarah Wallace, 390 Limit St, Leavenworth, KS 66048-4525 Ph: (913) 651-2323 |
William Maxime Buron Iii, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 S 4th St, Leavenworth, KS 66048 Phone: 913-680-6220 Fax: 816-943-2767 | |
Briana Elise Pina, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Limit St, Leavenworth, KS 66048 Phone: 866-389-2727 | |
Mr. Leo-anthony Nnamdi Ojini, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 | |
Elizabeth Hileman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Limit St, Leavenworth, KS 66048 Phone: 913-682-5118 | |
Mrs. Crystal Nicosia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Limit St, Leavenworth, KS 66048 Phone: 866-389-2727 | |
Ms. Sharon L Saim, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th Trafficway, Leavenworth, KS 66048 Phone: 913-682-2000 | |
Paul Joy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1288 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-1039 |