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205 S Hanover St Hanover KS 66945-8924 | |
| (785) 337-2214 | |
| (785) 337-2727 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 205 S Hanover St, Hanover, Kansas |
| Authorized Official Name and Position | Brittni Oehmke (ADMINISTRATOR) |
| Authorized Official Contact | 7853372214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
205 S Hanover St Hanover KS 66945-8924 Ph: (785) 337-2214 | 205 S Hanover St Hanover KS 66945-8924 Ph: (785) 337-2214 |
| NPI Number | 1457843302 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 6709892078 |
|---|---|
| Medicare Enrollment ID | O20190129002251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457843302 | NPI | - | NPPES |
| 100098950E | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kansas) | Primary |
| Provider Name | Jason M Werth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821051616 PECOS PAC ID: 5799799821 Enrollment ID: I20060127000634 |
| Provider Name | Tiffany N Engelken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932102381 PECOS PAC ID: 0648303842 Enrollment ID: I20100809000108 |
| Provider Name | Aubrie Marie Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053792028 PECOS PAC ID: 7214249143 Enrollment ID: I20150707002339 |
| Provider Name | Trent Colin Blackwill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922534056 PECOS PAC ID: 0042580193 Enrollment ID: I20170721001497 |
| Provider Name | Jason L Hoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992969661 PECOS PAC ID: 6507196300 Enrollment ID: I20190920001972 |
| Provider Name | Jayda Lynn Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326679184 PECOS PAC ID: 0840690319 Enrollment ID: I20210621002722 |
| Provider Name | Lindsay Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184063224 PECOS PAC ID: 2961712815 Enrollment ID: I20231025003308 |
| Provider Name | Tyler J Shriver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952975971 PECOS PAC ID: 1153725494 Enrollment ID: I20240813002235 |
Warren Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Hanover St, Hanover, KS 66945 Phone: 785-337-2214 Fax: 785-337-2727 | |
Hanover Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S Hanover St, Hanover, KS 66945 Phone: 785-337-2214 Fax: 785-337-2727 |