Mr Scott G Rogers, LMLP, LCP | |
610 E Grant Ave, Greensburg, KS 67054-2708 | |
(620) 723-2272 | |
(620) 723-3450 |
Full Name | Mr Scott G Rogers |
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Gender | Female |
Speciality | Psychologist |
Location | 610 E Grant Ave, Greensburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073628525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LMLP 0120 (Kansas) | Secondary |
103T00000X | Psychologist | LCP 062 (Kansas) | Primary |
Entity Name | Iroquois Center For Human Development, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922001981 PECOS PAC ID: 2062314081 Enrollment ID: O20040915000321 |
Mailing Address | Practice Location Address |
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Mr Scott G Rogers, LMLP, LCP 216 E 21st St, Larned, KS 67550-1407 Ph: (620) 285-7256 | Mr Scott G Rogers, LMLP, LCP 610 E Grant Ave, Greensburg, KS 67054-2708 Ph: (620) 723-2272 |
Mrs. Tabitha Marie Murski, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 610 E Grant Ave, Greensburg, KS 67054 Phone: 620-723-2272 | |
Mr. Charles Sheldon Carpenter, LMLP, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 610 E Grant Ave, Greensburg, KS 67054 Phone: 620-723-2272 Fax: 620-723-3450 | |
Mr. Travis Keith Hamrick, LCP Psychologist Medicare: Medicare Enrolled Practice Location: 610 E Grant Ave, Greensburg, KS 67054 Phone: 620-723-2272 Fax: 620-723-3450 | |
Mrs. Jacci Rae Koerner, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 610 E Grant Ave, Greensburg, KS 67054 Phone: 620-723-2272 Fax: 620-723-3450 |