Tracy M Fowler, APRN/PNP | |
555 W 15th St, Suite A, Liberal, KS 67901-2467 | |
(620) 624-0702 | |
(620) 624-5078 |
Full Name | Tracy M Fowler |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 555 W 15th St, Liberal, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801201173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 5376397 (Kansas) | Primary |
Entity Name | Southwest Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144493040 PECOS PAC ID: 7517941651 Enrollment ID: O20040805001105 |
Mailing Address | Practice Location Address |
---|---|
Tracy M Fowler, APRN/PNP Po Box 1215, Liberal, KS 67905-1215 Ph: (620) 629-6638 | Tracy M Fowler, APRN/PNP 555 W 15th St, Suite A, Liberal, KS 67901-2467 Ph: (620) 624-0702 |
Reyna Silvia Aguilar-martinez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 E 11th St, Liberal, KS 67901 Phone: 620-624-2565 Fax: 620-624-3016 | |
Victoria Rachel Underwood, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St Ste 104, Liberal, KS 67901 Phone: 620-624-9637 Fax: 620-624-2218 | |
Luis Felipe Camacho, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 W 15th St Ste 102, Liberal, KS 67901 Phone: 620-417-7578 Fax: 680-417-7577 | |
Dr. Tak Yee Leung, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 E 11th St, Liberal, KS 67901 Phone: 620-624-2565 Fax: 620-624-3016 | |
Reyna Silvia Diaz-aguilar, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1329 Jewell Ave, Liberal, KS 67901 Phone: 620-309-0052 | |
Mrs. Linsey Kay Carter, ARNP/FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 W 15th St, Suite A, Liberal, KS 67901 Phone: 620-624-0702 Fax: 620-624-5078 | |
Elizabeth Mercado, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N Kansas Ave, Liberal, KS 67901 Phone: 620-417-0028 |