| Stonecreek Family Physicians, Llp | |
|
4101 Anderson Ave Manhattan KS 66503-7588 | |
| (785) 587-4101 | |
| (785) 587-9090 |
| Full Name | Stonecreek Family Physicians, Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 4101 Anderson Ave, Manhattan, Kansas |
| Authorized Official Name and Position | Kevin K Wall (PARTNER) |
| Authorized Official Contact | 7855874101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonecreek Family Physicians, Llp 4101 Anderson Ave Manhattan KS 66503-7588 Ph: (785) 587-4101 | Stonecreek Family Physicians, Llp 4101 Anderson Ave Manhattan KS 66503-7588 Ph: (785) 587-4101 |
| NPI Number | 1093828097 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 09/29/2021 |
| Medicare PECOS PAC ID | 9335121565 |
|---|---|
| Medicare Enrollment ID | O20040602001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093828097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kansas) | Primary |
| Provider Name | Kevin K Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285673087 PECOS PAC ID: 7113983180 Enrollment ID: I20041202000234 |
| Provider Name | Douglas P Hinkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720027527 PECOS PAC ID: 1355307323 Enrollment ID: I20041202000257 |
| Provider Name | Keith A Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174562227 PECOS PAC ID: 9133185119 Enrollment ID: I20041202000289 |
| Provider Name | Debra Lynn Doubek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588619910 PECOS PAC ID: 8628034600 Enrollment ID: I20041202000327 |
| Provider Name | Jacqi I Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467407569 PECOS PAC ID: 2961468848 Enrollment ID: I20041202000356 |
| Provider Name | Kent H Kiracofe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285689380 PECOS PAC ID: 0840256723 Enrollment ID: I20041202000382 |
| Provider Name | Ryan C Knopp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427003409 PECOS PAC ID: 4284690181 Enrollment ID: I20041202000471 |
| Provider Name | Amy R Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902855661 PECOS PAC ID: 9133185960 Enrollment ID: I20061214000246 |
| Provider Name | Danelle L Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881738052 PECOS PAC ID: 4082717764 Enrollment ID: I20070319000173 |
| Provider Name | Lindsey A Westberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467616896 PECOS PAC ID: 1759559834 Enrollment ID: I20110715000036 |
| Provider Name | Melissa Rosso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720216708 PECOS PAC ID: 6507000908 Enrollment ID: I20130925000778 |
| Provider Name | Bethany Anne Duff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750675724 PECOS PAC ID: 3072751783 Enrollment ID: I20140919001099 |
| Provider Name | Lacey Leigh Schuckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427457597 PECOS PAC ID: 3971821117 Enrollment ID: I20150417001855 |
| Provider Name | Jason L Hoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992969661 PECOS PAC ID: 6507196300 Enrollment ID: I20190920001972 |
| Provider Name | Adam Zuzelski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891351136 PECOS PAC ID: 1759763295 Enrollment ID: I20220801001626 |
| Provider Name | Sarah Elizabeth Lewis Gish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124245915 PECOS PAC ID: 3476872888 Enrollment ID: I20230506000228 |
| Provider Name | Christopher Hazen Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689024382 PECOS PAC ID: 7315235074 Enrollment ID: I20231129002627 |
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