Geriatric Inpatient Services Of Kansas Llc | |
7447 W Village Cir Wichita KS 67205-2625 | |
(316) 372-8892 | |
Not Available |
Full Name | Geriatric Inpatient Services Of Kansas Llc |
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Speciality | Family Medicine |
Location | 7447 W Village Cir, Wichita, Kansas |
Authorized Official Name and Position | Alison Raymond (MEDICAL DIRECTOR) |
Authorized Official Contact | 3162853705 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geriatric Inpatient Services Of Kansas Llc 2918 N Parkdale Ct Wichita KS 67205-6039 Ph: () - | Geriatric Inpatient Services Of Kansas Llc 7447 W Village Cir Wichita KS 67205-2625 Ph: (316) 372-8892 |
NPI Number | 1073293650 |
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Provider Enumeration Date | 07/19/2023 |
Last Update Date | 07/19/2023 |
Medicare PECOS PAC ID | 4587011192 |
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Medicare Enrollment ID | O20231103000426 |
Identifier | Type | State | Issuer |
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1073293650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Alison K Raymond |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568690022 PECOS PAC ID: 2567587967 Enrollment ID: I20100908000825 |
Provider Name | Julie V Ashbrook Deering |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124454483 PECOS PAC ID: 1951531169 Enrollment ID: I20140310001533 |
Provider Name | Jennifer S Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548658842 PECOS PAC ID: 3274858139 Enrollment ID: I20150217001555 |
Provider Name | Stacey Lynn Wood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396320958 PECOS PAC ID: 0042608929 Enrollment ID: I20211026001687 |
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