| Wallace County Family Practice Clinic | |
|
104 E 4th St Sharon Springs KS 67758-9999 | |
| (785) 852-4230 | |
| (785) 852-4364 |
| Full Name | Wallace County Family Practice Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 E 4th St, Sharon Springs, Kansas |
| Authorized Official Name and Position | Sharon Rohr (CLINIC MANAGER) |
| Authorized Official Contact | 6203764251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace County Family Practice Clinic Po Box 310 Sharon Springs KS 67758-0310 Ph: (785) 852-4230 | Wallace County Family Practice Clinic 104 E 4th St Sharon Springs KS 67758-9999 Ph: (785) 852-4230 |
| NPI Number | 1316010317 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 09/11/2013 |
| Medicare PECOS PAC ID | 0042233496 |
|---|---|
| Medicare Enrollment ID | O20060208000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316010317 | NPI | - | NPPES |
| 200383210 B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kathryn J Bangerter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841302296 PECOS PAC ID: 0244226587 Enrollment ID: I20040422000807 |
| Provider Name | Wendel J Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336251784 PECOS PAC ID: 7911947437 Enrollment ID: I20060125000847 |
| Provider Name | Sheila M Scheffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598986895 PECOS PAC ID: 2769539550 Enrollment ID: I20090414000270 |
| Provider Name | Samuel Lindquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568843936 PECOS PAC ID: 2062793334 Enrollment ID: I20190107003143 |
| Provider Name | Benjamin C Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649831215 PECOS PAC ID: 2769875731 Enrollment ID: I20220215002509 |
| Provider Name | Brandy Rae Oaks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003481300 PECOS PAC ID: 3577940964 Enrollment ID: I20220525000794 |
| Provider Name | Sujata Sarkar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194800607 PECOS PAC ID: 0547223786 Enrollment ID: I20231016000446 |
| Provider Name | Christopher Liedke |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982022943 PECOS PAC ID: 1658612726 Enrollment ID: I20231020002347 |
| Provider Name | Emily Gilbert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649627928 PECOS PAC ID: 2062782345 Enrollment ID: I20231025003349 |
| Provider Name | Brittani N Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669236527 PECOS PAC ID: 3678919503 Enrollment ID: I20240313002711 |
Collett Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 Main St, Sharon Springs, KS 67758 Phone: 785-852-4942 | |
Wallace County Family Practice Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 E 6th St, Sharon Springs, KS 67758 Phone: 785-852-4230 Fax: 785-852-4364 |