Sabetha Family Practice | |
1115 Main St Sabetha KS 66534-1832 | |
(785) 284-2141 | |
(785) 284-0022 |
Full Name | Sabetha Family Practice |
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Speciality | Family Medicine |
Location | 1115 Main St, Sabetha, Kansas |
Authorized Official Name and Position | James Longabaugh (ADMINISTRATOR) |
Authorized Official Contact | 7852842121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sabetha Family Practice P.o. Box 247 Sabetha KS 66534 Ph: (785) 284-2141 | Sabetha Family Practice 1115 Main St Sabetha KS 66534-1832 Ph: (785) 284-2141 |
NPI Number | 1568491033 |
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Provider Enumeration Date | 06/30/2006 |
Last Update Date | 03/27/2024 |
Medicare PECOS PAC ID | 5698676146 |
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Medicare Enrollment ID | O20041215000613 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568491033 | NPI | - | NPPES |
100409570A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Gregg D Wenger |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124057567 PECOS PAC ID: 2860459450 Enrollment ID: I20041215000584 |
Provider Name | James Allen Longabaugh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356311914 PECOS PAC ID: 4587565726 Enrollment ID: I20050113000047 |
Provider Name | Kevin P Kennally |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487683900 PECOS PAC ID: 0648229005 Enrollment ID: I20050113000053 |
Provider Name | Dean A Heideman |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1790868677 PECOS PAC ID: 9335140102 Enrollment ID: I20070122000247 |
Provider Name | Christian R Tramp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336347772 PECOS PAC ID: 7810098373 Enrollment ID: I20070727000289 |
Provider Name | Tiffany Nicole Engelken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932102381 PECOS PAC ID: 0648303842 Enrollment ID: I20100809000108 |
Provider Name | Kristopher R Carlson |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1467676106 PECOS PAC ID: 9830367960 Enrollment ID: I20130809000542 |
Provider Name | Susan R Lueger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396149522 PECOS PAC ID: 7618255647 Enrollment ID: I20161026002313 |
Provider Name | Levi D Grimm |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811407752 PECOS PAC ID: 2567729734 Enrollment ID: I20171122002276 |
Provider Name | Deanna L Goff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669917688 PECOS PAC ID: 6204118466 Enrollment ID: I20180604001890 |
Provider Name | Kisha M Patterson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124677521 PECOS PAC ID: 0840626610 Enrollment ID: I20200214001673 |
Provider Name | Natalie K Frye |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003345471 PECOS PAC ID: 3577834647 Enrollment ID: I20200810002150 |
Provider Name | Rachel K Allen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619400207 PECOS PAC ID: 4385908151 Enrollment ID: I20200914001943 |
Provider Name | Aaron M Brown |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1285054932 PECOS PAC ID: 6103259411 Enrollment ID: I20201006002271 |
Provider Name | Colin B Lisenby |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679922652 PECOS PAC ID: 8628361524 Enrollment ID: I20201008003351 |
Provider Name | Erica Lea Bletscher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275140261 PECOS PAC ID: 4789096926 Enrollment ID: I20201214000236 |
Provider Name | Kristen J Manning |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336773340 PECOS PAC ID: 5092115873 Enrollment ID: I20210616000613 |
Provider Name | Adam Ryan Streit |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1194066233 PECOS PAC ID: 1850667965 Enrollment ID: I20210812001293 |
Provider Name | Derek A Christensen |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1992327936 PECOS PAC ID: 4880019785 Enrollment ID: I20211007000277 |
Provider Name | Denis Jimenez |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1487175063 PECOS PAC ID: 9739453150 Enrollment ID: I20220823003209 |
Provider Name | Jordan C Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346866357 PECOS PAC ID: 4688099864 Enrollment ID: I20220907001267 |
Provider Name | Alexander V Hermesch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952930653 PECOS PAC ID: 5698190098 Enrollment ID: I20221116001750 |
Provider Name | Karl James Haake |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1003801747 PECOS PAC ID: 3274506050 Enrollment ID: I20230510000802 |
Provider Name | Sarah Bangert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881469252 PECOS PAC ID: 0042657645 Enrollment ID: I20240319000751 |
Sabetha Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1115 Main St, Sabetha, KS 66534 Phone: 785-284-2141 Fax: 785-284-0022 |