| Great Bend Internists | |
|
3515 Broadway Ave Great Bend KS 67530-3633 | |
| (620) 793-8429 | |
| (620) 793-6014 |
| Full Name | Great Bend Internists |
|---|---|
| Speciality | Internal Medicine |
| Location | 3515 Broadway Ave, Great Bend, Kansas |
| Authorized Official Name and Position | John B Moore (EXEC DIRECTOR OF PHYSICIAN PRACTICE) |
| Authorized Official Contact | 7856232185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Bend Internists 3515 Broadway Ave Great Bend KS 67530-3633 Ph: (620) 793-8429 | Great Bend Internists 3515 Broadway Ave Great Bend KS 67530-3633 Ph: (620) 793-8429 |
| NPI Number | 1619372000 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 02/07/2017 |
| Medicare PECOS PAC ID | 0042534224 |
|---|---|
| Medicare Enrollment ID | O20150116000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619372000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael J Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659460319 PECOS PAC ID: 5698714418 Enrollment ID: I20050429000802 |
| Provider Name | Joann Schauvliege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619956588 PECOS PAC ID: 8729099197 Enrollment ID: I20060523000052 |
| Provider Name | Lynne A Holz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154374106 PECOS PAC ID: 3274426614 Enrollment ID: I20060828000392 |
| Provider Name | Jules R Whiteman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992739031 PECOS PAC ID: 4385644640 Enrollment ID: I20070119000429 |
| Provider Name | Marypat P Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902946064 PECOS PAC ID: 7214033570 Enrollment ID: I20070502000430 |
| Provider Name | James Arthur Mcreynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184844169 PECOS PAC ID: 9234226713 Enrollment ID: I20071031000049 |
| Provider Name | James E Mbogori |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710185533 PECOS PAC ID: 8628100732 Enrollment ID: I20100723000894 |
| Provider Name | Gulraiz Ahmad Cheema |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780724880 PECOS PAC ID: 0446435580 Enrollment ID: I20110504000696 |
| Provider Name | Allison R Widener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619204179 PECOS PAC ID: 4688844384 Enrollment ID: I20110908001666 |
| Provider Name | Paul C Teget |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134249766 PECOS PAC ID: 8325196330 Enrollment ID: I20120727000774 |
| Provider Name | Aron James Splichal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669699278 PECOS PAC ID: 6901052174 Enrollment ID: I20130125000290 |
| Provider Name | Nicci Dawn Srna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427481563 PECOS PAC ID: 6002042058 Enrollment ID: I20131121000353 |
| Provider Name | Melanie D Schroeter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124430426 PECOS PAC ID: 5193949287 Enrollment ID: I20140611000546 |
| Provider Name | Jerod Michael Grove |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851619738 PECOS PAC ID: 1456663806 Enrollment ID: I20150629000593 |
| Provider Name | Deana J Schwartzkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982099685 PECOS PAC ID: 2567776701 Enrollment ID: I20150803000309 |
| Provider Name | Jennifer A Canfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215337548 PECOS PAC ID: 6507167251 Enrollment ID: I20151222001528 |
| Provider Name | Jacquelyn Rene Forssberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043628233 PECOS PAC ID: 2264721539 Enrollment ID: I20160510002483 |
| Provider Name | David Jacob Lerner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396061636 PECOS PAC ID: 5890014492 Enrollment ID: I20160520000127 |
| Provider Name | Jamie Marie Jellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669833125 PECOS PAC ID: 1052601242 Enrollment ID: I20160531001419 |
| Provider Name | Bonnie Landgraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255784518 PECOS PAC ID: 1052605318 Enrollment ID: I20160809001706 |
| Provider Name | Haley Ann Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982152898 PECOS PAC ID: 7911285721 Enrollment ID: I20161031000236 |
| Provider Name | Alisha Joy Stinemetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083144539 PECOS PAC ID: 2062785892 Enrollment ID: I20170830001458 |
| Provider Name | Megan Joelle Beahm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710271366 PECOS PAC ID: 1153664875 Enrollment ID: I20190523001371 |
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Lindsborg Community Hospital Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 10th St, Great Bend, KS 67530 Phone: 620-792-7868 | |
Heart Of Kansas Family Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 19th St., Great Bend, KS 67530 Phone: 620-792-5700 Fax: 620-792-5742 | |
Central Kansas Family Practice, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 Polk St, Great Bend, KS 67530 Phone: 620-792-5341 Fax: 620-792-3702 |