Jill Roberts, LMLP | |
217 W Ira Ct, Andover, KS 67002-9469 | |
(316) 733-5047 | |
Not Available |
Full Name | Jill Roberts |
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Gender | Female |
Speciality | Psychologist |
Location | 217 W Ira Ct, Andover, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104381284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2900 (Kansas) | Primary |
Entity Name | County Of Sedgwick |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629281373 PECOS PAC ID: 2961304779 Enrollment ID: O20040122000873 |
Mailing Address | Practice Location Address |
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Jill Roberts, LMLP 520 E Augusta Ave, Augusta, KS 67010-2100 Ph: () - | Jill Roberts, LMLP 217 W Ira Ct, Andover, KS 67002-9469 Ph: (316) 733-5047 |
Danielle Leigh Forbes, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 221 E King St, Andover, KS 67002 Phone: 316-733-5047 | |
Jenna Sue Fountain, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 221 E King St, Andover, KS 67002 Phone: 316-733-5047 | |
Mr. John H Koppenhaver Iv, MA, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 Fax: 316-733-5060 | |
Darci Elizabeth Klein, MS Psychologist Medicare: Medicare Enrolled Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 | |
Jared Samuel Ohm, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 | |
Katherine Rayne Leahy, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 |