Denise Puerto, | |
730 Holly Ln, Salina, KS 67401-8452 | |
(785) 452-4948 | |
(785) 452-6119 |
Full Name | Denise Puerto |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 730 Holly Ln, Salina, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053920355 | NPI | - | NPPES |
201308400A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 03007 (Kansas) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Denise Puerto, 400 S Santa Fe Ave, Salina, KS 67401-4144 Ph: (785) 452-4948 | Denise Puerto, 730 Holly Ln, Salina, KS 67401-8452 Ph: (785) 452-4948 |
Mr. David Alaric Winters, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1804 Glendale, Salina, KS 67401 Phone: 785-823-5006 | |
Darrin Edwin Sewell, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5097 W Cloud St, Salina, KS 67401 Phone: 785-825-0563 Fax: 785-825-0623 | |
Everett Deane Dehaven, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 809 Elmhurst Blvd, Salina, KS 67401 Phone: 785-823-6322 Fax: 785-823-3109 | |
Vesna M Matic-wright, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 E Elm St, Salina, KS 67401 Phone: 785-825-0541 Fax: 785-825-4024 | |
Mrs. Nicole Elise Stewart, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 645 E Iron Ave, Suite C, Salina, KS 67401 Phone: 785-823-0001 Fax: 785-914-5250 | |
Jeffrey Dohm, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 809 Elmhurst Blvd, Salina, KS 67401 Phone: 785-823-6322 Fax: 785-823-3109 |