| Pratt Family Practice | |
|
203 Watson St Suite 200 Pratt KS 67124-3066 | |
| (620) 672-7422 | |
| (620) 508-6476 |
| Full Name | Pratt Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 Watson St, Pratt, Kansas |
| Authorized Official Name and Position | Wakon Fowler (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6206727422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pratt Family Practice 203 Watson St Suite 200 Pratt KS 67124-3066 Ph: (620) 672-7422 | Pratt Family Practice 203 Watson St Suite 200 Pratt KS 67124-3066 Ph: (620) 672-7422 |
| NPI Number | 1740233204 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 07/16/2015 |
| Medicare PECOS PAC ID | 6709824535 |
|---|---|
| Medicare Enrollment ID | O20050421000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740233204 | NPI | - | NPPES |
| 17-8987 | Other | KS | RHC PROVIDER # |
| 110446 | Other | KS | GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | William Cannata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457353732 PECOS PAC ID: 0143132027 Enrollment ID: I20050624000929 |
| Provider Name | John W Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679577159 PECOS PAC ID: 6507802089 Enrollment ID: I20050706000883 |
| Provider Name | Lacie D Werkmeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952335689 PECOS PAC ID: 2769486539 Enrollment ID: I20060909000017 |
| Provider Name | Steven R Donnenwerth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659361632 PECOS PAC ID: 2163313719 Enrollment ID: I20070220000417 |
| Provider Name | Eric R Clarkson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982802807 PECOS PAC ID: 4587798418 Enrollment ID: I20100814000015 |
| Provider Name | Micha Shea Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629331962 PECOS PAC ID: 8325363351 Enrollment ID: I20150213000576 |
| Provider Name | Sarah Ann Eubank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548509359 PECOS PAC ID: 9234377425 Enrollment ID: I20150227000538 |
| Provider Name | Hannah K Vogt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942793385 PECOS PAC ID: 4880943315 Enrollment ID: I20210721002896 |
Pratt Community Health Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Main St, Pratt, KS 67124 Phone: 620-388-7741 | |
Pratt Internal Medicine Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Country Club Rd, Pratt, KS 67124 Phone: 620-672-7415 Fax: 620-672-7414 | |
Pratt Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Watson St, Suite 200, Pratt, KS 67124 Phone: 620-672-7422 Fax: 620-450-1601 | |
South Central Bone & Joint Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Watson St, Suite 300, Pratt, KS 67124 Phone: 620-672-1002 Fax: 620-672-7268 | |
Pratt Internal Medicine Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 Country Club Rd, Pratt, KS 67124 Phone: 620-672-7415 |