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3450 N Rock Rd Ste 503 Wichita KS 67226-1355 | |
| (316) 312-0002 | |
| (316) 854-5644 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3450 N Rock Rd Ste 503, Wichita, Kansas |
| Authorized Official Name and Position | Gregory Alex Melugin (CEO) |
| Authorized Official Contact | 3163120002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3450 N Rock Rd Ste 503 Wichita KS 67226-1355 Ph: (316) 312-0002 | 3450 N Rock Rd Ste 503 Wichita KS 67226-1355 Ph: (316) 312-0002 |
| NPI Number | 1437443488 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 02/23/2018 |
| Medicare PECOS PAC ID | 0042481285 |
|---|---|
| Medicare Enrollment ID | O20110920000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437443488 | NPI | - | NPPES |
| 201104060B | Medicaid | KS | |
| 100229520C | Medicaid | KS | |
| 200769120A | Medicaid | KS |
| Provider Name | Larry T Bumguardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154397255 PECOS PAC ID: 2365482205 Enrollment ID: I20050510000526 |
| Provider Name | Stacy L Wessley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760623011 PECOS PAC ID: 5799835245 Enrollment ID: I20090604000308 |
| Provider Name | Shari Lynn Strawder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114175593 PECOS PAC ID: 2860542750 Enrollment ID: I20090616000132 |
| Provider Name | Laveta M Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588890404 PECOS PAC ID: 8628124229 Enrollment ID: I20090923000641 |
| Provider Name | Denis D Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235190919 PECOS PAC ID: 7113029737 Enrollment ID: I20100525000596 |
| Provider Name | Valerie D Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598920167 PECOS PAC ID: 6305978909 Enrollment ID: I20100716000785 |
| Provider Name | Denette Arlene Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336404524 PECOS PAC ID: 4082860697 Enrollment ID: I20120815000328 |
| Provider Name | Jacy F Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407281272 PECOS PAC ID: 1557591997 Enrollment ID: I20140304000176 |
| Provider Name | Ashley R Melugin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881094902 PECOS PAC ID: 5597987677 Enrollment ID: I20141104002422 |
| Provider Name | Christel L Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316342710 PECOS PAC ID: 5395068746 Enrollment ID: I20141216001843 |
| Provider Name | Laura Marbun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548718935 PECOS PAC ID: 9830462795 Enrollment ID: I20170829002421 |
| Provider Name | Anna Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114400199 PECOS PAC ID: 2264785013 Enrollment ID: I20181025001353 |
| Provider Name | Lauren Shelby Ewertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275098204 PECOS PAC ID: 2567703473 Enrollment ID: I20190402002101 |
| Provider Name | Trisha Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760093983 PECOS PAC ID: 5395162267 Enrollment ID: I20200825000308 |
| Provider Name | Megan Marie Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801462825 PECOS PAC ID: 0648669457 Enrollment ID: I20211117001640 |
| Provider Name | Tiffany Nold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528782364 PECOS PAC ID: 8325415581 Enrollment ID: I20221101002999 |
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Primary Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7111 E 21st St N Ste A, Wichita, KS 67206 Phone: 316-684-2851 | |
Substance Abuse At Hunter Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2318 E Central Ave, Wichita, KS 67214 Phone: 316-262-3611 Fax: 316-262-0741 | |
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 | |
World Impact, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 E 13th St N, #400, Wichita, KS 67208 Phone: 316-682-1880 |