Western Roots Medical Clinic Llc is a medicare enrolled primary clinic (Family Medicine) in Grainfield, Kansas. The current practice location for Western Roots Medical Clinic Llc is 123 E 2nd St, Grainfield, Kansas. For appointments, you can reach them via phone at
(405) 301-2708. The mailing address for Western Roots Medical Clinic Llc is Po Box 21, Grainfield, Kansas and phone number is (785) 953-5953.
Western Roots Medical Clinic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1770345910. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(405) 301-2708.
Primary Care Clinic Profile
| Full Name | Western Roots Medical Clinic Llc |
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| Speciality | Family Medicine |
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| Location | 123 E 2nd St, Grainfield, Kansas |
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| Authorized Official Name and Position | Brooke Rachelle Briggs (SOLE MEMBER) |
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| Authorized Official Contact | 7859535953 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Western Roots Medical Clinic Llc
Po Box 21
Grainfield
KS 67737-0021
Ph: (785) 953-5953 | Western Roots Medical Clinic Llc
123 E 2nd St
Grainfield
KS 67737-3505
Ph: (405) 301-2708 |
NPI Details:
| NPI Number | 1770345910 |
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| Provider Enumeration Date | 01/24/2024 |
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| Last Update Date | 09/06/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8729426457 |
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| Medicare Enrollment ID | O20240401001927 |
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Medical Identifiers
Medical identifiers for Western Roots Medical Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770345910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Western Roots Medical Clinic Llc acts as a billing entity for following providers:
| Provider Name | Brooke Rachelle Briggs |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1326586637
PECOS PAC ID: 3577910264
Enrollment ID: I20231117001741 |
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