Shanell Bosch, AGACNP-BC | |
2122 N 127th Ct E, Wichita, KS 67206-3003 | |
(620) 635-6454 | |
Not Available |
Full Name | Shanell Bosch |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 2122 N 127th Ct E, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497534465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 120305 (Kansas) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 82483 (Kansas) | Primary |
Entity Name | Kansas Care Connect, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528756590 PECOS PAC ID: 0648636910 Enrollment ID: O20230512000489 |
Mailing Address | Practice Location Address |
---|---|
Shanell Bosch, AGACNP-BC 2122 N 127th Ct E, Wichita, KS 67206-3003 Ph: (620) 635-6454 | Shanell Bosch, AGACNP-BC 2122 N 127th Ct E, Wichita, KS 67206-3003 Ph: (620) 635-6454 |
Mavis A Schultz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 N Hillside St, Wichita, KS 67219 Phone: 316-682-3100 Fax: 316-618-8537 | |
Jacob Loveless, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 N Emporia St Ste 200, Wichita, KS 67214 Phone: 316-263-0296 | |
Amanda Barrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3715 N Oliver St, Wichita, KS 67220 Phone: 316-942-4519 Fax: 316-942-4655 | |
Mr. Norman Keith Trevolt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 848 N. St Francis, Ste 3901, Wichita, KS 67214 Phone: 316-268-8500 Fax: 316-291-7993 | |
Kathryn M Filby, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside, Wichita, KS 67214 Phone: 316-962-8580 Fax: 316-962-8581 | |
Ms. Shirley Rae Parish, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 E Sunnybrook Ln, Suite C, Wichita, KS 67210 Phone: 316-651-0062 | |
Dawn M Schake, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9350 E 35th St N Ste 101, Wichita, KS 67226 Phone: 316-265-1308 Fax: 316-265-4480 |