Wichita Family Medicine Specialists, Llc | |
800 N Carriage Pkwy Wichita KS 67208-4508 | |
(316) 858-5800 | |
(316) 858-5868 |
Full Name | Wichita Family Medicine Specialists, Llc |
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Speciality | Family Medicine |
Location | 800 N Carriage Pkwy, Wichita, Kansas |
Authorized Official Name and Position | Ronald C Brown (PRESIDENT) |
Authorized Official Contact | 3168585800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wichita Family Medicine Specialists, Llc 800 N Carriage Pkwy Wichita KS 67208-4508 Ph: (316) 858-5800 | Wichita Family Medicine Specialists, Llc 800 N Carriage Pkwy Wichita KS 67208-4508 Ph: (316) 858-5800 |
NPI Number | 1376504084 |
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Provider Enumeration Date | 03/31/2006 |
Last Update Date | 12/11/2008 |
Medicare PECOS PAC ID | 4082620489 |
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Medicare Enrollment ID | O20060222000361 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376504084 | NPI | - | NPPES |
CH7861 | Other | RAILROAD MEDICARE | |
100393540A | Medicaid | KS | |
110664 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Drew E Schultz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336107358 PECOS PAC ID: 7113984006 Enrollment ID: I20041213000423 |
Provider Name | Tracy R Klein |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770545691 PECOS PAC ID: 9335183037 Enrollment ID: I20050614000585 |
Provider Name | Steven W Davis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447212857 PECOS PAC ID: 7416991146 Enrollment ID: I20050614000782 |
Provider Name | Diane M Steere |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164483863 PECOS PAC ID: 7719993104 Enrollment ID: I20060222000295 |
Provider Name | Tiffany L Lieurance |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790927549 PECOS PAC ID: 0042364200 Enrollment ID: I20090821000665 |
Provider Name | Tari M Ernst |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710948492 PECOS PAC ID: 6204938822 Enrollment ID: I20100616000815 |
Provider Name | Christopher N Brunner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851353254 PECOS PAC ID: 8123120748 Enrollment ID: I20100616000853 |
Provider Name | Constance A Davis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295797512 PECOS PAC ID: 4486756004 Enrollment ID: I20100623000980 |
Provider Name | James G Kahrs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821067653 PECOS PAC ID: 9739162363 Enrollment ID: I20100903000863 |
Provider Name | Deborah L Outwater |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073566618 PECOS PAC ID: 2466641162 Enrollment ID: I20110112000070 |
Provider Name | Regan Michelle Dehart |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932305414 PECOS PAC ID: 0547416935 Enrollment ID: I20130403000101 |
Provider Name | Braden J Foster |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124313598 PECOS PAC ID: 6204085293 Enrollment ID: I20140529001088 |
Provider Name | Stephanie H Shields |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538540364 PECOS PAC ID: 7517271604 Enrollment ID: I20161219000531 |
Provider Name | Bart J Winter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851571491 PECOS PAC ID: 6901063247 Enrollment ID: I20170609000624 |
Provider Name | Alyson Taylor-smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023538378 PECOS PAC ID: 8426327180 Enrollment ID: I20170712001041 |
Provider Name | Brittany N Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497258685 PECOS PAC ID: 7618231432 Enrollment ID: I20180503000169 |
Provider Name | Kelly J Winter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508024605 PECOS PAC ID: 6507030855 Enrollment ID: I20180801000823 |
Provider Name | Lydia Schwertfeger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902669997 PECOS PAC ID: 4880039130 Enrollment ID: I20240227001919 |
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