| Long Term Care Specialists | |
|
1323 N A St Wellington KS 67152-4350 | |
| (620) 440-8121 | |
| (620) 359-1201 |
| Full Name | Long Term Care Specialists |
|---|---|
| Speciality | Family Medicine |
| Location | 1323 N A St, Wellington, Kansas |
| Authorized Official Name and Position | Tamara Lynne Mccue (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6203260251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Term Care Specialists Po Box 755 Wellington KS 67152-0755 Ph: (620) 440-8121 | Long Term Care Specialists 1323 N A St Wellington KS 67152-4350 Ph: (620) 440-8121 |
| NPI Number | 1891069647 |
|---|---|
| Provider Enumeration Date | 02/25/2012 |
| Last Update Date | 06/19/2013 |
| Medicare PECOS PAC ID | 3577723386 |
|---|---|
| Medicare Enrollment ID | O20120330000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891069647 | NPI | - | NPPES |
| 100233060J | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0524781 (Kansas) | Primary |
| Provider Name | Tamara L Mccue |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457339137 PECOS PAC ID: 8224000781 Enrollment ID: I20040806000460 |
| Provider Name | Lynnette M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689869505 PECOS PAC ID: 1254427735 Enrollment ID: I20071013000120 |
| Provider Name | Amber Ecton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669837035 PECOS PAC ID: 7214227214 Enrollment ID: I20160603000327 |
| Provider Name | Channity M Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437658101 PECOS PAC ID: 9436413754 Enrollment ID: I20180514000201 |
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