Sue E Terry, NP-C | |
6524 Se Quakervale Rd, Riverton, KS 66770-4214 | |
(620) 848-2380 | |
(620) 848-2381 |
Full Name | Sue E Terry |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6524 Se Quakervale Rd, Riverton, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003244294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2013034506 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 53-76136 (Kansas) | Primary |
Entity Name | Drynachan Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20180110002965 |
Entity Name | Meditelecare Of Kansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083116628 PECOS PAC ID: 5294097549 Enrollment ID: O20180326001530 |
Mailing Address | Practice Location Address |
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Sue E Terry, NP-C 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 Ph: (888) 256-3814 | Sue E Terry, NP-C 6524 Se Quakervale Rd, Riverton, KS 66770-4214 Ph: (620) 848-2380 |
Peter White, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Mark S Knight, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 |