| Neurology Associates Of Kansas Llc | |
|
3243 E Murdock St Suite 104 Wichita KS 67208-3018 | |
| (316) 682-5544 | |
| (316) 682-9944 |
| Full Name | Neurology Associates Of Kansas Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3243 E Murdock St, Wichita, Kansas |
| Authorized Official Name and Position | John Rebok (VP) |
| Authorized Official Contact | 6153725004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of Kansas Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7600 | Neurology Associates Of Kansas Llc 3243 E Murdock St Suite 104 Wichita KS 67208-3018 Ph: (316) 682-5544 |
| NPI Number | 1720309479 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 3779775226 |
|---|---|
| Medicare Enrollment ID | O20101004000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720309479 | NPI | - | NPPES |
| 100113740C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Wendy Lynn Dusenbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447255526 PECOS PAC ID: 1850394800 Enrollment ID: I20060814000249 |
| Provider Name | Keiko Munsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891281655 PECOS PAC ID: 3476800053 Enrollment ID: I20180727002824 |
| Provider Name | Mohammed A Hussain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922376573 PECOS PAC ID: 5395049290 Enrollment ID: I20181015000100 |
| Provider Name | Vismay J Thakkar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912301508 PECOS PAC ID: 7113148370 Enrollment ID: I20190822000261 |
| Provider Name | Sarah Anne Spear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699332742 PECOS PAC ID: 2062740319 Enrollment ID: I20190823001505 |
| Provider Name | Rajesh K Sadasivuni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780998658 PECOS PAC ID: 4880987932 Enrollment ID: I20190830001679 |
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Freestate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4723 E Douglas Ave, Wichita, KS 67218 Phone: 888-505-1776 Fax: 888-505-1776 | |
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Robert A Sweet Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 N Cypress Dr, Suite 100, Wichita, KS 67226 Phone: 316-260-4747 | |
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