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South / Sur
Member Services / Servicios para Miembros
1-877-542-9238, TTY 711
CSKS18MC4250781_006
Provider DirectoryDirectorio de proveedores
Kansas
11/3/2020
CSKS.15.999.07.9.008
UHCCommunityPlan.com
We care about you and your family’s health
This book helps you find providers in your area who work with UnitedHealthcare Community Plan
or KanCare. The most current list is on our website at UHCCommunityPlan.com. If you need help
finding a doctor, call Member Services at 1-877-542-9238, TTY 711. We'll be happy to help you.
If you have an emergency, call 911 or go to an emergency room.
Member Services 1-877-542-9238, TTY 711
8 a.m. – 6 p.m., Monday – Friday
Our office is closed on these major holidays:
New Year's Day (observed)
Martin Luther King Jr. Day
Memorial Day
Independence Day
Labor Day
Thanksgiving Day
Day after Thanksgiving
Christmas Day (observed)
UnitedHealthcare Community Plan is a health plan with KanCare. We work with providers to
coordinate your health care. Your health care will be from doctors in our network. If your primary care
physician (PCP) says you need services outside of our network, s/he can call us. Refer to your
member handbook if you need help.
UnitedHealthcare does not discriminate on the basis of race, color, religion, sex, sexual orientation,
age, disability, national origin, veteran status, ancestry, health status or need for care.
We're glad you are a member of UnitedHealthcare Community Plan!
Welcome to UnitedHealthcare Community Plan
Providers in this directory are current as of the date on the cover.
The information is subject to change.
CSKS.15.999.07.9.008
UHCCommunityPlan.com
Choosing a Primary Care Physician (PCP) for you and your family is easy
There are several types of PCPs listed here.
Primary Care Physicians
Family Medicine: Adults and children
Pediatrics: Children
Internal Medicine: Adults
General Practice: Adults and children
OB/GYN: (who specifically request
to act as a PCP)Adult women
Physician's Assistants: Adults and children
Nurse Practitioners: Adults and children
Geriatrics: Adults
Clinics: (to include IHS, FQHC, RHC) Adults and children
To find a provider, find your county in the table of contents. The providers are listed by their specialty.
When you find the specialty you want, go to the page listed. Then you can pick the provider who
meets your needs. Members may get care from a resident doctor or a nurse practitioner if supervised
by a PCP.
If there is no chapter in the Table of Contents for the type of provider you want, look in the chapter for
Ancillary Providers. Providers that do not have specific chapters are listed there.
Sample listings are on the next page.
Nursing Facilities
Kansas Medicaid members residing in a Nursing Facility: You may stay in your current nursing home
no matter which KanCare plan we picked or you choose.
How to use this Directory
CSKS.15.999.07.9.008
UHCCommunityPlan.com
Description of listings
Sample provider listing
Provider Listing
Provider name John Smith, MD
Provider address 123 Main Street
Health Valley, KS 54321
Provider phone number 222-222-2222
Board certification Y
Languages Spanish
Limitations Closed Panel
Board Certification shows a doctor's specialty. It requires testing in the specific area of medicine.
A specialist has continuing education on the latest advances in his or her specialty. You can
check the provider's certifications on the American Board of Medical Specialists (ABMS) website.
Go to www.abms.org. Click on “Is Your Doctor Certified?”
Languages other than English the provider speaks.
Limitations of the practice. An example is Closed Panel. (This means they do not take new patients.)
Wheelchair shows they have wheelchair access.
Note:
Any of these numbers after the Provider's ZIP code means they also provide services under these
waiver programs:
1 – Brain Injury (BI)
2 – Technology Assisted (TA)
3 – Serious Emotional Disturbance (SED)
4 – Autism (AUT)
5 – Frail Elderly (FE)
6 – Physical Disability (PD)
7 – Intellectual/Developmental Disability (I/DD)
CSKS.15.999.07.9.008
UHCCommunityPlan.com
For IDD Waiver Services, please check with your regional CDDO to verify which providers are affiliated
with CDDO in your area for the following specialties: Day Support, IDD Targeted Case Management,
Residential Support, Respite Care – Overnight – Minor, Sleep Cycle Support – IDD, Specialized Medical
Care – LPN, Specialized Medical Care – RN, Supported Employment Services, Supportive Home Care,
Financial Management Services, Medical Alert Rental, Personal Care Services, Wellness Monitoring.
Sample hospital listing
Hospital Listing
Hospital name GoodCare Hospital
Hospital address 123 Main Street
Health Valley, KS 54321
Hospital phone number 222-222-2222
All of the information here comes from the provider's application. UnitedHealthcare checks this
when they join our network. We check it again every three years (or sooner).
CSKS.15.999.07.9.008
UHCCommunityPlan.com
Nosotros estamos interesados en la salud de usted y de su familia
Este directorio le ayuda a encontrar a los proveedores en su área que trabajan con UnitedHealthcare
Community Plan o KanCare. La lista actualizada se encuentra en nuestro sitio en la red en
UHCCommunityPlan.com. Si usted necesita ayuda para encontrar a un doctor, llame al Servicios
para Miembros al 1-877-542-9238, TTY 711. Nos dará mucho gusto poder ayudarle.
Si tiene una emergencia, llame al 911 o acuda a una sala de emergencias.
Servicios para Miembros 1-877-542-9238, TTY 711
8 a.m. a 6 p.m., de lunes a viernes
Nuestra oficina está cerrada en estos días feriados importantes:
Día de Año Nuevo (observado)
Día de Martin Luther King Jr.
Día de los Caídos (Memorial Day)
Día de la Independencia
Día del Trabajo
Día de Acción de Gracias
Día después de Acción de Gracias
Navidad (observado)
UnitedHealthcare Community Plan es un plan de salud con KanCare. Nosotros trabajamos con
proveedores para coordinar sus cuidados de salud. Sus cuidados de salud serán llevadas a cabo
por médicos en nuestra red. Si su médico de cabecera (PCP) dice que usted necesita servicios fuera
de nuestra red, él o ella pueden llamarnos. Consulte con su manual de miembro si necesita ayuda.
UnitedHealthcare no discrimina por motivos de raza, color, religión, sexo, orientación sexual, edad,
discapacidad, origen nacional, condición de veterano, ascendencia, estado de salud o necesidad
de atención.
¡Nos alegra que sea miembro de UnitedHealthcare Community Plan!
Bienvenido a UnitedHealthcare Community Plan
Los proveedores en este directorio se encuentran al corriente hasta la fecha en la portada.
Esta información está sujeta a cambios.
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UHCCommunityPlan.com
Es fácil escoger a un Doctor de Atención Primaria (PCP) para usted y para su familia
Hay varios tipos de PCP anotados aquí.
Doctores de Atención Primaria
Medicina Familiar: Adultos y niños
Pediatras: Niños
Medicina Interna: Adultos
Medicina General: Adultos y niños
OB/GYN: (si solicitan específicamente
actuar como PCP)Mujeres adultas
Asistentes de Doctor: Adultos y niños
Enfermeras Practicantes: Adultos y niños
Geriatría: Adultos
Clínicas: (incluyendo IHS, FQHC y RHC) Adultos y niños
Para encontrar a un proveedor, busque su condado en el índice. Los proveedores se anotan de
acuerdo a su especialidad. Cuando encuentre a la especialidad que quiere, pase a la página
indicada. Ahí usted podrá escoger al proveedor que puede satisfacer sus necesidades. Los
miembros pueden recibir atención por parte de médicos residentes o de enfermeras practicantes
bajo la supervisión de un PCP.
Si no hay un capítulo en la Tabla de Contenido para el tipo de proveedor que usted necesita, busque
en el capítulo de Proveedores Auxiliares. Los proveedores que no tienen capítulos específicos se
encuentran anotados ahí.
En la siguiente página se anotan ejemplos de los listados.
Casas de reposo
Los miembros de Kansas Medicaid que viven en una casa de reposo: Usted puede permanecer en
su actual casa de reposo sin importar cual plan de KanCare sea él que nosotros o usted escojamos.
Cómo usar este directorio
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UHCCommunityPlan.com
Descripción de las listas
Ejemplo de listado de proveedores
Listado de Proveedores
Nombre del proveedor John Smith, MD
Dirección del proveedor 123 Main Street
Health Valley, KS 54321
Teléfono del proveedor 222-222-2222
Certificación Sí
Idiomas Español
Limitaciones Panel cerrado
Un Consejo Directivo de Certificación muestra la especialidad del médico. Requiere la aprobación de
exámenes en una rama de la medicina. Un especialista participa en educación continua para aprender
acerca de los últimos avances en su área de interés. Usted puede constatar las certificaciones del
proveedor en el sitio en la red del Consejo Directivo Americano de Especialistas en Medicina (American
Board of Medical Specialists – ABMS). Vea www.abms.org. Pulse en “Is Your Doctor Certified?”
Otros idiomas además del inglés que hable el proveedor.
Limitaciones de la práctica. Por ejemplo, un Panel cerrado. (Esto significa que no se aceptan
nuevos pacientes.)
Una Silla de ruedas indica que ofrecen acceso para sillas de ruedas.
Nota:
Cualquiera de estos números después del nombre del proveedor indica que ellos también ofrecen
servicios bajo estos programas de exenciones:
1 – Lesiones al cerebro (BI)
2 – Tecnología Asistida (TA)
3 – Graves Disturbios Emocionales (SED)
4 – Autismo (AUT)
5 – Personas de Mayor Edad Frágiles (FE)
6 – Discapacidades Físicas (PD)
7 – Discapacidad de Desarrollo/Mental (I/DD)
CSKS.15.999.07.9.008
UHCCommunityPlan.com
Para los servicios del Programa de Exención para discapacidades intelectuales o del desarrollo,
consulte a su Organización de Discapacidad del Desarrollo de la Comunidad (CDDO) local para verificar
qué proveedores están afiliados a la Organización de Discapacidad del Desarrollo de la Comunidad
en su área para las siguientes especialidades: Apoyo diurno; administración de casos dirigida a
discapacidades intelectuales y del desarrollo (IDD); apoyo residencial; relevo del cuidador: nocturno,
de menores; apoyo para el ciclo del sueño: discapacidades intelectuales y del desarrollo (IDD); cuidado
médico especializado, enfermera de práctica con licencia (LPN); cuidado médico especializado,
enfermera titulada (RN); servicios de respaldo de empleados; cuidado a domicilio de apoyo; servicios
de administración financiera; alquiler de dispositivos de alerta médica; servicios para el cuidado
personal; monitoreo del bienestar.
Ejemplo de listado de hospitales
Listado de Hospitales
Nombre del hospital GoodCare Hospital
Dirección del hospital 123 Main Street
Health Valley, KS 54321
Teléfono del hospital 222-222-2222
Toda la información se basa en información obtenida en la solicitud del proveedor. UnitedHealthcare
revisa esta información cuando el proveedor se incorpora a nuestra red. La revisamos de nuevo cada
tres años (o con más frecuencia).
CSKS.15.999.07.9.008
UnitedHealthcare Community Plan does not treat members differently because of sex, age, race, color,
disability, sexual preference, gender preference or national origin.
If you think you were treated unfairly because of your sex, age, race, color, disability, sexual preference,
gender preference or national origin, you can send a complaint to:
Civil Rights Coordinator
UnitedHealthcare Civil Rights Grievance
P.O. Box 30608
Salt Lake City, UTAH 84130
You must send the complaint within 60 days of when you found out about it. A decision will be sent to
you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again.
If you need help with your complaint, please call the toll-free member phone number listed on your health
plan member ID card, TTY 711, 8 a.m. – 6 p.m., Monday – Friday.
You can also file a complaint with the U.S. Dept. of Health and Human Services.
Online:
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Complaint forms are available at
http://www.hhs.gov/ocr/office/file/index.html
Phone:
Toll-free 1-800-368-1019, 1-800-537-7697 (TDD)
Mail:
U.S. Dept. of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, D.C. 20201
If you need help with your complaint, please call the toll-free member phone number listed on your
member ID card.
We provide free services to help you communicate with us. Such
as, letters in other languages or large print. Or, you can ask for an
interpreter. To ask for help, please call the toll-free member phone
number listed on your health plan member ID card, TTY 711,
8 a.m. – 6 p.m., Monday – Friday.CSKS19MC4587646_000
CSKS.15.999.07.9.008
UnitedHealthcare Community Plan no da un tratamiento diferente a sus miembros en base a su sexo,
edad, raza, color, discapacidad, preferencia sexual, preferencia de género u origen nacional.
Si usted piensa que ha sido tratado injustamente por razones como su sexo, edad, raza, color,
discapacidad, preferencia sexual, preferencia de género u origen nacional, puede enviar una queja a:
Civil Rights Coordinator
UnitedHealthcare Civil Rights Grievance
P.O. Box 30608
Salt Lake City, UTAH 84130
Usted tiene que enviar la queja dentro de los 60 días de la fecha cuando se enteró de ella. Se le enviará
la decisión en un plazo de 30 días. Si no está de acuerdo con la decisión, tiene 15 días para solicitar que
la consideremos de nuevo.
Si usted necesita ayuda con su queja, por favor llame al número de teléfono gratuito para miembros que
aparece en su tarjeta de identificación del plan de salud, TTY 711, de 8 a.m. a 6 p.m., de lunes a viernes.
Usted también puede presentar una queja con el Departamento de Salud y Servicios Humanos de los
Estados Unidos.
Internet:
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Formas para las quejas se encuentran disponibles en:
http://www.hhs.gov/ocr/office/file/index.html
Teléfono:
Llamada gratuita, 1-800-368-1019, 1-800-537-7697 (TDD)
Correo:
U.S. Department of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, D.C. 20201
Si necesita ayuda para presentar su queja, por favor llame al número gratuito para miembros anotado
en su tarjeta de identificación como miembro.
Ofrecemos servicios gratuitos para ayudarle a comunicarse con nosotros. Tales como, cartas en otros
idiomas o en letra grande. O bien, puede solicitar un intérprete. Para pedir ayuda, por favor llame al
número de teléfono gratuito para miembros que aparece en su tarjeta de identificación del plan de
salud, TTY 711, de 8 a.m. a 6 p.m., de lunes a viernes.
CSKS.15.999.07.9.008
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National Vendors / Proveedores Nacionales .................................................................................17
Hospitals / Hospitales ......................................................................................................................22
Primary Care Providers / Proveedores De Cuidado Primario ...................................................28
Specialists / Especialistas ................................................................................................................255
Dental Providers / Proveedores De Servicios Dentales ................................................................537
Vision Providers / Proveedores De Atención De La Vista ...........................................................560
Pharmacy / Farmacia .....................................................................................................................591
Clinic/Multispecialty Clinic / Clínica/Clínica De Múltiples Especialidades ..............................613
Ancillary Providers / Proveedores Auxiliares ..............................................................................615
Behavioral Health Providers / Proveedores De Salud Mental ....................................................641
Behavioral Health Facilities / Servicios De Salud Mental ...........................................................1004
Convenience Care Clinics / Clínicas De Atención En Tiendas De Compras .............................1014
Long Term Care Providers / Proveedores De Atención A Largo Plazo ....................................1015
Home And Community Based Service Providers / Proveedores De Servicios Comunitarios Y
Domiciliarios ....................................................................................................................................1041
Urgent Care Centers / Centros De Atención Urgente .................................................................1306
Areas of Expertise Index / Índice de Especialidades ...................................................................1307
Index / Indice ...................................................................................................................................1387
Table Of Contents / Tabla de Contenido
IMPORTANT:
Providers listed in this directory are current as of November 3, 2020.
Information is subject to change.
Please contact Member Services at 1-877-542-9238 or (TTY/TDD 711).
15
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National Vendors The following national vendors are available to provide services to
UnitedHealthcare customers throughout the United States regardless of where you receive the
services.
Provider(s) Phone Number Website
Cardiac Diagnostic - Cardiac Monitoring Services
Preventice Services 1-888-747-1442 www.preventicesolutions.com
Convenience Care Clinic
The Little Clinic 1-877-852-2677 http://www.thelittleclinic.com
Dialysis
DaVita Dialysis 1-866-475-7757 ext.
253706
www.davita.com
Fresenius Medical Care 1-866-434-2597 www.fmcna.com
Home Dialysis Services LLC 1-815-741-6830 www.dccdialysis.com
DME - AED - wearable defibrillator
ZOLL Lifecore 1-800-543-3267 www.zoll.com
DME - Ambulatory Infusion Pumps
InfuSystem Inc 1-800-962-9656 www.infusystem.com
DME - Bone Growth Stimulator
DJO 1-800-321-9549 www.djortho.com
EBI 1-800-526-2579 www.biomet.com
Orthofix 1-800-535-4492 www.orthofix.com
DME - Breast pump purchase
Byram Healthcare 1-877-902-9726 www.byramhealthcare.com
Edgepark Medical Supplies 1-888-394-5375 www.edgepark.com
Medline Industries 1-800-633-5463 www.medline.com
DME - Cochlear Implant Replacement Parts
Cochlear Americas 1-800-483-3123 Cochlearamericas.com
DME - CPM/continuous passive motion, Thermocomp, TENS
Kinex Medical Company 1-800-845-6364 www.kinexmedical.com
DME - Dynamic Splinting; Bracing & Orthotics
Dynasplint Systems 1-800-638-6771 www.dynasplint.com
DME - Incontinence, diapers, soft goods and wound care supplies
Medline Industries 1-800-633-5463 www.medline.com
National Vendors / Proveedores Nacionales
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CSKS.15.999.07.9.008
www.url.com
Provider(s) Phone Number Website
DME - Mail order disposable medical supplies including Medicare-covered diabetic supplies
(blood glucose monitors, test strips and lancets)
Byram Healthcare 1-877-902-9726 www.byramhealthcare.com
DME - Mobility products - custom/complex power wheelchairs and seating systems
Numotion 1-888-232-1333 https://www.numotion.com/locations
DME - Mobility products custom/complex power wheelchairs and seating systems
National Seating & Mobility See website www.nsm-seating.com
DME - Negative pressure wound pump and wound care surfaces
KCI USA 1-800-275-4524 https://www.acelity.com/about-kci
DME - Orthotics and Prosthetics
Linkia Orthotics & Prosthetics 1-877-754-6542 www.linkia.com
DME - Respiratory high frequency chest compression oscillation system (vest)
Advanced Respiratory 1-800-826-4224 https://respiratorycare.hill-rom.com/
Electromed 1-800-462-1045 www.smartvest.com
RespirTech 1-800-793-1261 www.respirtech.com
DME - Speech generating device
Prentke Romich 1-800-268-5224 www.prentrom.com
Tobii Dynavox Systems 1-800-344-1778 http://www.tobiidynavox.com/
DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, home PT/INR, negative
pressure wound care, oxygen, respiratory
Lincare - may be known
locally by a different name;
refer to website
See website www.lincare.com
DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, negative pressure wound
care, oxygen, respiratory
Apria Healthcare 1-800-277-4288 www.apria.com
DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, oxygen, respiratory
Rotech Healthcare - may be
known locally by a different
name; refer to website
See website www.rotech.com
DME - Wound care supplies for residents of nursing homes
Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com
Home Health
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Provider(s) Phone Number Website
Heartland Healthcare
Services
1-800-736-4427 / 1-
419-252-5500
www.hcr-manorcare.com or
www.heartlandhomehealth.com
Innovative Senior Care See website www.brookdaleliving.com
Maxim Health Care Services 1-800-899-9525 www.maximhomecare.com
Home Infusion
Basic Home Infusion 1-888-822-7428 www.basichomeinfusion.com
Hospice - Home and inpatient
AseraCare Hospice See website www.aseracare.com
Heartland Healthcare
Services
1-800-736-4427 / 1-
419-252-5500
www.hcr-manorcare.com or
www.heartlandhomehealth.com
Laboratory - Anatomic pathology - including dermatopathology, gastroenterology,
genitourinary, hematology and gynecological pathology
AmeriPath 1-800-354-3449 www.ameripath.com
Laboratory - BRCA for breast & ovarian cancer; COLARIS for colon & endometrial cancer;
MELARIS for melanoma & pancreatic cancer; Theraguide 5-FU
Myriad Genetic Laboratories 1-800-469-7423 www.myriad.com
Laboratory - Clinical, pathology and genetic testing
BioReference Laboratories* 1-800-229-5227 www.bioreference.com
Laboratory Corporation of
America*
1-888-522-2677 (1-888-
LABCORP)
www.labcorp.com
Lineagen, Inc 1-801-931-6200 www.lineagen.com
Mayo Clinic Laboratories 1-800-533-1710 www.mayomedicallaboratories.com
Quest Diagnostics
Incorporated*
See website www.questdiagnostics.com
Laboratory - Dialysis testing
Nationwide Laboratory
Services
1-888-377-3522 www.nationwidelab.com
Laboratory - Genetic testing
Ambry Genetics* 1-866-262-7943 www.ambrygen.com
GeneDx 1-301-519-2100 www.genedx.com
Natera, Inc 1-650-249-9090 www.natera.com
Laboratory - Genetic testing (OncotypeDx)
Genomic Health 1-888-662-6897 (1-888-
ONCOTYPE)
www.genomichealth.com
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Provider(s) Phone Number Website
Laboratory - Molecular Diagnostics
Veracyte 1-888-9AFIRMA www.veracyte.com
Laboratory - Oncometrix, hematopathology, gastrointestinal pathology, dermatopathology,
gynecologic pathology
Poplar Healthcare 1-888-244-7284 www.poplarhealthcare.com
Laboratory - Prenatal testing
Ariosa Diagnostics 1-855-927-4672 www.ariosadx.com
Eurofins NTD, LLC 1-888-762-4000 www.perkinelmer.com
Laboratory - Specialty genetic testing
Invitae Corporation 1-800-436-3037 www.invitae.com
Laboratory - Therapeutic medication monitoring, drug testing
Aegis Sciences Corporation* 1-800-533-7052 www.aegislabs.com
Millennium Health* 1-877-451-3534 www.milleniumlaboratories.com
Precision Diagnostics* 1-800-635-6901 www.precisiondxlab.com
Other Specialty Services - Women’s health - high risk OB / prenatal care
Optum Women's and
Children's Health
1-800-950-3963 www.alere.com
Specialty Pharmacy
Orsini Pharmaceutical
Services
1-800-672-0869 www.orsinihealthcare.com
Specialty Pharmacy - Carticel, Elelyso and Prolastin
Eversana 1-866-336-1336 www.dohmen.com
Specialty Pharmacy - Limited Distribution Specialty Drugs
Biologics 1-800-856-1984 www.biologicsinc.com
Caremark 1-877-287-1234 www.cvsspecialty.com
Specialty Pharmacy - Xiaflex, Brineura
US Bioservices 1-888-518-7246 www.usbioservices.com
Specialty Pharmacy and Home Infusion - Limited Distribution Drugs
Option Care 1-866-827-8203 www.optioncare.com
Specialty Pharmacy and Home Infusion - Limited Distribution Drugs - Zolgensma, Luxturna
Accredo 1-800-803-2523 www.accredo.com
Urgent Care - Urgent care services
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CSKS.15.999.07.9.008
Provider(s) Phone Number Website
MedExpress Urgent Care See website www.medexpress.com
Vaccine Program - Influenza, Pneumonia, Shingles, Tdap, Meningitis, Hepatitis A/B, HPV,
MMR, MMRV, Varicella, TDAP (age 15 and up) Available at Retail Pharmacy or Worksite Clinic
CVS Pharmacy (d/b/a CVS
Pharmacy, Long’s Drug,
CarePlus Pharmacy)
1-888-358-7468 www.cvs.com
Harris Teeter See website www.harristeeter.com
Kmart Pharmacy 1-800-349-0764 www.pharmacy.kmart.com
The Kroger Co See website www.kroger.com
United Supermarkets (d/b/a
United Supermarket,
Albertsons Market, Amigos,
Market Street)
1-877-276-9637 www.unitedsupermarkets.com
Vaccine Program - Influenza, Pneumonia, Shingles,Tdap, Meningitis,Hepatitis B, HPV, TDAP
(age 15 and up) Worksite Clinics and Retail locations
Walgreens Immunization
(d/b/a Walgreens, Duane
Reade)
1-800-925-4733 www.walgreens.com
DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment that is ordered by your
doctor for use at home. DME includes but is not limited to: wheelchairs, crutches, hospital bed, IV
infusion pump, oxygen equipment, nebulizer, and walker.
HOME HEALTH/HOME INFUSION CARE can either be a licensed facility or medical personnel that
can provide health care services in the home. Services include but are not limited to nursing visits
for infusion services or wound care.
LABORATORY means diagnostic testing including routine blood and urine analysis, anatomic
pathology, surgical pathology, and specialty or esoteric services.
SPECIALTY PHARMACY PROVIDER provides specific drug products directly to customers or
physicians.
WOMEN'S HEALTH is limited to home uterine monitoring services.
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Hospitals / Hospitales
Kansas
Allen
Acute Care Hospital / Atención
Hospitalaria Aguda
Saint Lukes Hospital Of Allen
County
Provider ID: 000172769008
NPI: 1639185457
3066 N Kentucky St
Iola, KS 66749
(620) 365-1000 E, EB, IB, P, R, S
Web address: www.saintlukeskc.org
Barber
Acute Care Hospital / Atención
Hospitalaria Aguda
Kiowa District Hospital
Provider ID: 000597457003
NPI: 1437152766
1002 S 4th St
Kiowa, KS 67070
(620) 825-4117 EB, P, R
Web address: www.kdhks.com
Medicine Lodge Memorial
Hospital
Provider ID: 000666268002
NPI: 1407887193
710 N Walnut St
Medicine Lodge, KS 67104
(620) 886-3771 EB, P, R
Web address: www.mlmh.net
Bourbon
Acute Care Hospital / Atención
Hospitalaria Aguda
Mercy Hospital Fort Scott
Provider ID: 000004712002
NPI: 1578576336
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-2200 EB, P, R
Web address: www.mercy.net
Via Christi Hospital Pittsburg
Provider ID: 000016127002
NPI: 1760408975
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-7070 EB, P, R
Butler
Acute Care Hospital / Atención
Hospitalaria Aguda
Kansas Medical Center
Provider ID: 002696718003
NPI: 1255380127
1124 W 21st St
Andover, KS 67002
(316) 300-4000 E, EB, IB, P, R,
RE, T
Web address: http://ksmedcenter.co
m/contact.aspx
Susan B Allen Memorial Hospital
Provider ID: 000110499001
NPI: 1700994977
720 W Central Ave
El Dorado, KS 67042
(316) 322-4589 EB, P, R
Web address: http://www.sbamh.co
m
Chautauqua
Acute Care Hospital / Atención
Hospitalaria Aguda
Sedan City Hospital
Provider ID: 000490061001
NPI: 1033114277
300 W North St
Sedan, KS 67361
(620) 725-3115 EB, P, R
Web address: www.sedancityhospit
al.org
Cherokee
Acute Care Hospital / Atención
Hospitalaria Aguda
Mercy Hospital Columbus
Provider ID: 000225428001
NPI: 1871829812
220 N Pennsylvania Ave
Columbus, KS 66725
(620) 429-2545 EB, P, R
Web address: www.mercy.net
Mercy Specialty Hospital
Southeast Kans
Provider ID: 003525104002
NPI: 1396097317
1619 K Highway 66
Galena, KS 66739
(620) 783-1732 EB, P, R
Web address: www.mercy.net
Mercy Specialty Hospital
Southeast Kans
Provider ID: 003525104002
NPI: 1396097317
444 Four States Dr Ste 2
Galena, KS 66739
(620) 783-4000 EB, P, R
Web address: www.mercy.net
Cowley
Acute Care Hospital / Atención
Hospitalaria Aguda
South Central Ks Reg Med Ctr
Provider ID: 001618017001
Hospitals / Hospitales Kansas - Cherokee
Unless noted, all providers accept new patients. All providers are proficient in English unless otherwise noted.
A menos que este anotado aceptan pacientes nuevos. Todos los proveedores son expertos en inglés a menos
que se indique lo contrario.
22
CSKS.15.999.07.9.008
www.url.com
NPI: 1609842681
6401 Patterson Pkwy
Arkansas City, KS 67005
(620) 441-5924 E, EB, G, IB, P,
PL, R, RE, S, T
Web address: www.sckrmc.org
William Newton Memorial
Hospital
Provider ID: 000001839001
NPI: 1548229149
1300 E 5th Ave
Winfield, KS 67156
(620) 221-2300 EB, P, R
Crawford
Acute Care Hospital / Atención
Hospitalaria Aguda
Freeman Hospital-West
Campus(Hosp)
Provider ID: 000397122001
NPI: 1073627584
100 N Pine St
Pittsburg, KS 66762
(620) 231-3750
Girard Medical Center
Provider ID: 000489203001
NPI: 1578505095
302 N Hospital Dr
Girard, KS 66743
(316) 724-8291 E, EB, G, IB, P,
PL, R, RE, S, T
Web address: www.girardmedicalce
nter.com
Areas of Expertise: SP50
Girard Medical Center
Provider ID: 000489203001
NPI: 1578505095
804 W Saint John St
Girard, KS 66743
(620) 724-7288 EB, P, R
Web address: www.girardmedicalce
nter.com
Areas of Expertise: SP50
Via Christi Hospital Pittsburg
Provider ID: 000016127002
NPI: 1760408975
1 Med Center Cir
Pittsburg, KS 66762
(316) 235-0000 EB, P, R
Via Christi Hospital Pittsburg
Provider ID: 000016127002
NPI: 1760408975
1 Mt Carmel Way
Pittsburg, KS 66762
(620) 231-6100 E, EB, G, IB, P,
PL, R, RE, S, T
Web address: http://www.via-christi
.org/hospitals
Greenwood
Acute Care Hospital / Atención
Hospitalaria Aguda
Greenwood County Hosp
Provider ID: 000378109001
NPI: 1629044961
100 W 16th St
Eureka, KS 67045
(620) 583-7451 EB, P, R
Web address: www.gwch.org
Harper
Acute Care Hospital / Atención
Hospitalaria Aguda
Hospital District #6 Harper Cnty
Provider ID: 000618752002
NPI: 1467427674
485 N Ks Hwy 2
Anthony, KS 67003
(620) 914-1200 E, EB, P, R
Harvey
Acute Care Hospital / Atención
Hospitalaria Aguda
Newton Medical Center
Provider ID: 000088853002
NPI: 1245238435
510 Wheatridge Dr
Newton, KS 67114
(316) 283-5200 EB, P, R
Web address: www.newtonmedicalc
enter.com
Areas of Expertise: SP50
Newton Medical Center
Provider ID: 000088853002
NPI: 1245238435
600 Medical Center Dr
Newton, KS 67114
(316) 283-5200 EB, IB, P, R
Web address: www.newtonmedicalc
enter.com
Areas of Expertise: SP50
Kingman
Acute Care Hospital / Atención
Hospitalaria Aguda
Kingman Community Hospital
Provider ID: 001186255001
NPI: 1285629956
750 W D Ave
Kingman, KS 67068
(620) 532-3147 E, EB, G, IB, P,
PL, R, RE, S, T
Web address: www.kchks.com
Kansas - Harvey Hospitals / Hospitales
= Wheelchair/Con Acceso para Silla de Ruedas = Provider is within one (1) mile of publictransportation/Proveedor está dentro de una (1) milla del transporte público B = Board Certified/Certificadopor la Junta Médica P = Parking/Estacionamiento EB = Exterior Building/Parte exterior del edificioIB = Interior Building/Parte interior del edificio R = Restroom/Bano E = Exam Room/Sala de examenesT = Exam Table/Scale/Chairs/Camilla de examenes/Bascula/Sillas G = Gurneys & Stretchers/CamillasPL = Portable Lifts/Elevadores portatiles RE = Radiologic Equipment/Equipo radiologico S = Signage &Documents/Documentos y letreros
23
CSKS.15.999.07.9.008
Labette
Acute Care Hospital / Atención
Hospitalaria Aguda
Labette County Medical Center
Provider ID: 000213595001
NPI: 1578560421
1902 S Hwy 59 Bldg E Ste 101
Parsons, KS 67357
(620) 820-5800
Labette County Medical Center
Provider ID: 000213595001
NPI: 1578560421
1902 S Hwy 59 Ste 2
Parsons, KS 67357
(620) 820-5183
Labette County Medical Center
Provider ID: 000213595001
NPI: 1578560421
1902 S Us Highway 59
Parsons, KS 67357
(620) 421-4880 EB, P, R
Web address: www.labettehealth.co
m
Labette County Medical Center
Provider ID: 000213595002
NPI: 1578560421
1902 S Us Hwy 59
Parsons, KS 67357
(620) 421-4880 EB, P, R
Labette County Medical Center
Provider ID: 000213595001
NPI: 1578560421
608 Commercial St
Oswego, KS 67356
(620) 795-2340
Oswego Community Hospital
Provider ID: 001897987001
NPI: 1215992656
800 Barker Dr
Oswego, KS 67356
(620) 795-2921 EB, P, R
Web address: www.oswegocommun
ityhospital.com
Marion
Acute Care Hospital / Atención
Hospitalaria Aguda
Herington Municipal Hospital
Provider ID: 000053873001
NPI: 1215908454
535 S Freeborn St
Marion, KS 66861
(620) 382-2033 EB, P, R
Web address: www.heringtonhospit
al.org
Hillsboro Community Hospital
Provider ID: 002487393001
NPI: 1801043906
101 Industrial Rd
Hillsboro, KS 67063
(620) 947-3114 E, EB, G, IB, P,
PL, R, RE, T
Web address: www.hchks.com
St Luke Hospital
Provider ID: 000192755001
NPI: 1326087966
535 S Freeborn St
Marion, KS 66861
(620) 382-2177 E, EB, G, IB, P,
R, RE, S, T
Web address: www.slhmarion.org
Mcpherson
Acute Care Hospital / Atención
Hospitalaria Aguda
Lindsborg Community Hospital
Provider ID: 000011760001
NPI: 1881697811
605 W Lincoln
Lindsborg, KS 67456
(785) 227-3308 EB, P, R
Web address: www.lindsborghospit
al.org
Mcpherson Hospital
Provider ID: 000030195003
NPI: 1730297409
1000 Hospital Dr
Mcpherson, KS 67460
(620) 241-2250 P, R
Web address: www.mcphersonhospi
tal.org
Mercy Hospital
Provider ID: 000145996001
NPI: 1083628911
218 East Pack St
Moundridge, KS 67107
(620) 345-6391 EB, P, R
Web address: www.mercyh.org
Montgomery
Acute Care Hospital / Atención
Hospitalaria Aguda
Coffeyville Regional Medical Ctr
Provider ID: 000042749001
NPI: 1285600379
1400 W 4th St
Coffeyville, KS 67337
(620) 251-1200 E, EB, G, IB, P,
PL, R, RE, S, T
Web address: www.crmcinc.org
Labette County Medical Center
Provider ID: 000213595001
NPI: 1578560421
510 N Peter Pan Rd Ste A
Independence, KS 67301
(620) 332-2000 EB, P, R
Web address: www.labettehealth.co
Hospitals / Hospitales Kansas - Montgomery
Unless noted, all providers accept new patients. All providers are proficient in English unless otherwise noted.
A menos que este anotado aceptan pacientes nuevos. Todos los proveedores son expertos en inglés a menos
que se indique lo contrario.
24
CSKS.15.999.07.9.008
m
Neosho
Acute Care Hospital / Atención
Hospitalaria Aguda
Neosho Memorial Regional Med
Ctr
Provider ID: 000226939002
NPI: 1073566949
629 S Plummer
Chanute, KS 66720
(620) 431-4000 EB, P, R
Web address: www.nmrmc.com
Pratt
Acute Care Hospital / Atención
Hospitalaria Aguda
Pratt Regional Medical Center
Provider ID: 000452304001
NPI: 1578596904
200 Commodore
Pratt, KS 67124
(620) 672-7451 EB, P, R
Reno
Acute Care Hospital / Atención
Hospitalaria Aguda
Hutchinson Regional Medical
Center
Provider ID: 000443754001
NPI: 1922039320
1701 E 23rd Ave
Hutchinson, KS 67502
(620) 665-2000 E, EB, G, IB, P,
PL, R, RE, S, T
Web address: http://www.hutchregi
onal.com
Areas of Expertise: SP50
Hutchinson Regional Medical
Center
Provider ID: 000443754001
NPI: 1922039320
1705 E 23rd Ave
Hutchinson, KS 67502
(316) 665-2000 EB, P, R
Summit Surgical
Provider ID: 003290432001
NPI: 1932117975
1818 E 23rd Ave
Hutchinson, KS 67502
(620) 663-4800 E, EB, G, IB, P,
PL, R, RE, S, T
Web address: summitks.com/
Rice
Acute Care Hospital / Atención
Hospitalaria Aguda
Hospital Dist No #1 Rice County
Provider ID: 000053100001
NPI: 1710962014
1221 West Noble
Lyons, KS 67554
(620) 257-5124 EB, P, R
Web address: ricecountyhospital.co
m
Hospital Dist No #1 Rice County
Provider ID: 000053100001
NPI: 1710962014
619 S Clark Ave
Lyons, KS 67554
(620) 257-5173 E, EB, G, IB, P,
PL, R, RE, S, T
Web address: ricecountyhospital.co
m
Sedgwick
Acute Care Hospital / Atención
Hospitalaria Aguda
Kansas Heart Hospital
Provider ID: 001872175001
NPI: 1114928108
3601 N Webb Rd
Wichita, KS 67226
(316) 630-5000 EB, P, R
Web address: kansasheart.com
Kansas Medical Center
Provider ID: 002696718003
NPI: 1255380127
1410 N Woodlawn Blvd
Derby, KS 67037
(316) 788-3741 EB, P, R
Kansas Medical Center
Provider ID: 002696718003
NPI: 1255380127
9840 E 21st St N
Wichita, KS 67206
(316) 300-4000 E, EB, IB, P, R
Kansas Spine & Specialty
Hospital
Provider ID: 002393738001
NPI: 1417950650
3333 N Webb Rd
Wichita, KS 67226
(316) 462-5000 EB, P, R
Web address: www.ksspine.com/
Kansas Surgery & Recovery Cent
Provider ID: 001279945001
NPI: 1306827878
2770 N Webb Rd
Wichita, KS 67226
(316) 634-0090 EB, P, R
Web address: www.kansas.surgery
Kvc Hospitals Inc
Kansas - Sedgwick Hospitals / Hospitales
= Wheelchair/Con Acceso para Silla de Ruedas = Provider is within one (1) mile of publictransportation/Proveedor está dentro de una (1) milla del transporte público B = Board Certified/Certificadopor la Junta Médica P = Parking/Estacionamiento EB = Exterior Building/Parte exterior del edificioIB = Interior Building/Parte interior del edificio R = Restroom/Bano E = Exam Room/Sala de examenesT = Exam Table/Scale/Chairs/Camilla de examenes/Bascula/Sillas G = Gurneys & Stretchers/CamillasPL = Portable Lifts/Elevadores portatiles RE = Radiologic Equipment/Equipo radiologico S = Signage &Documents/Documentos y letreros
25
CSKS.15.999.07.9.008
Provider ID: 002658470001
NPI: 1629538483
1507 W 21st St N
Wichita, KS 67203
(316) 221-7310 E, EB, IB, P, R
Ralph Bharati Md Pa
Provider ID: 002313811001
NPI: 1295886984
8911 E Orme St Ste A
Wichita, KS 67207
(316) 686-7884 EB, P, R
Rock Regional Hospital
Provider ID: 007044737001
NPI: 1518454842
3251 N Rock Rd
Derby, KS 67037
(316) 425-2400 EB, P, R
Web address: rockregionalhospitald
erby.com
Via Christi Hosp Wichita St
Teresa
Provider ID: 003202614001
NPI: 1023334950
14800 W Saint Teresa St
Wichita, KS 67235
(316) 796-7000 P, PL, R, RE, T
Web address: www.viachristi.org
Via Christi Hospitals Wichita
Provider ID: 001348355002
NPI: 1154314789
3600 E Harry St
Wichita, KS 67218
(316) 268-5000 EB, P, R
Web address: www.viachristi.org
Areas of Expertise: SP05, SP30,
SP35, SP50
Via Christi Hospitals Wichita
Provider ID: 001348355002
NPI: 1154314789
6100 E Central Ave Ste 101
Wichita, KS 67208
(316) 689-5235 EB, P, R
Web address: www.viachristi.org
Areas of Expertise: SP05, SP30,
SP35, SP50
Via Christi Hospitals Wichita
Provider ID: 001348355005
NPI: 1154314789
829 N St Francis
Wichita, KS 67214
(316) 268-5000 EB, P, R
Web address: www.viachristi.org
Areas of Expertise: SP05, SP30,
SP35, SP50
Via Christi Hospitals Wichita
Provider ID: 001348355002
NPI: 1154314789
8901 E Orme St
Wichita, KS 67207
(316) 858-0333 EB, P, R
Web address: www.viachristi.org
Areas of Expertise: SP05, SP30,
SP35, SP50
Via Christi Hospitals Wichita
Provider ID: 001348355002
NPI: 1154314789
929 N St Francis
Wichita, KS 67214
(316) 268-5000 EB, P, R
Web address: www.viachristi.org
Areas of Expertise: SP05, SP30,
SP35, SP50
Via Christi Hospitals Wichita
Provider ID: 001348355002
NPI: 1154314789
929 N St Francis St
Wichita, KS 67214
(316) 268-5000 P, R
Web address: www.viachristi.org
Areas of Expertise: SP05, SP30,
SP35, SP50
Wesley Medical Center
Provider ID: 000470446001
NPI: 1447299649
2610 N Woodlawn St
Wichita, KS 67220
(316) 962-2000 P, R
Areas of Expertise: SP50
Wesley Medical Center
Provider ID: 000470446001
NPI: 1447299649
550 N Hillside St
Wichita, KS 67214
(316) 962-2000 E, EB, G, IB, P,
PL, R, RE, S, T
Areas of Expertise: SP50
Stafford
Acute Care Hospital / Atención
Hospitalaria Aguda
Stafford County Hospital
Provider ID: 000022071001
NPI: 1295840999
502 S Buckeye St
Stafford, KS 67578
(620) 234-5221 EB, P, PL, R
Web address: www.staffordcountyh
ospital.org
Sumner
Acute Care Hospital / Atención
Hospitalaria Aguda
Sumner Cty Hosp District #1
Provider ID: 000622812001
NPI: 1215094438
601 S Osage St
Caldwell, KS 67022
(620) 845-6492 EB, P, R
Web address: www.sumnercountyh
ospital.org
Hospitals / Hospitales Kansas - Stafford
Unless noted, all providers accept new patients. All providers are proficient in English unless otherwise noted.
A menos que este anotado aceptan pacientes nuevos. Todos los proveedores son expertos en inglés a menos
que se indique lo contrario.
26
CSKS.15.999.07.9.008
Wilson
Acute Care Hospital / Atención
Hospitalaria Aguda
Fredonia Regional Hospital
Provider ID: 000188998001
NPI: 1285634006
1527 Madison St
Fredonia, KS 66736
(620) 378-2121 EB, P, R
Web address: frh1.org
Wilson County Hospital
Provider ID: 000117460001
NPI: 1669441176
2600 Ottawa Rd
Neodesha, KS 66757
(620) 325-2611 E, EB, IB, P, R,
RE, T
Web address: www.wilsonmedical.o
rg
Kansas - Wilson Hospitals / Hospitales
= Wheelchair/Con Acceso para Silla de Ruedas = Provider is within one (1) mile of publictransportation/Proveedor está dentro de una (1) milla del transporte público B = Board Certified/Certificadopor la Junta Médica P = Parking/Estacionamiento EB = Exterior Building/Parte exterior del edificioIB = Interior Building/Parte interior del edificio R = Restroom/Bano E = Exam Room/Sala de examenesT = Exam Table/Scale/Chairs/Camilla de examenes/Bascula/Sillas G = Gurneys & Stretchers/CamillasPL = Portable Lifts/Elevadores portatiles RE = Radiologic Equipment/Equipo radiologico S = Signage &Documents/Documentos y letreros
27
CSKS.15.999.07.9.008
Primary Care Providers / Proveedores De Cuidado Primario
Kansas
Allen
Advanced Registered Nurse
Practitioner / Enfermera
Registrada Avanzada
Brennan, Brenda S, NP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 002266209015
NPI: 1619979440
2051 N State St
Iola, KS 66749
(620) 380-6600 EB, P, R
Ages: 0-99
Carl, William T, NP, (M)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 002952211015
NPI: 1063604940
2051 N State St
Iola, KS 66749
(620) 380-6600 EB, P, R
Ages: 0-99
Family Practice / Medicina
Familiar
Bradshaw, Sarah E, MD, (F), B
Group Name: Allen County
Hospital
Provider ID: 005172226005
NPI: 1134362015
111 S 9th St
Humboldt, KS 66748
(620) 228-6050 EB, P, R
Ages: 0-99
Hospital Affiliations:
Overland Park Rgnl Med Ctr
Adventhealth Shawnee Mission
Shawnee Mission Medical Ctr
Bradshaw, Sarah E, MD, (F), B
Group Name: Allen County
Hospital
Provider ID: 005172226004
NPI: 1134362015
304 N Cedar St
Moran, KS 66755
(620) 228-6050 EB, P, R
Ages: 0-99
Hospital Affiliations:
Overland Park Rgnl Med Ctr
Adventhealth Shawnee Mission
Shawnee Mission Medical Ctr
Bradshaw, Sarah E, MD, (F), B
Group Name: Allen County
Hospital
Provider ID: 005172226006
NPI: 1134362015
401 S Washington
Iola, KS 66749
(620) 228-6050 EB, P, R
Ages: 0-99
Hospital Affiliations:
Overland Park Rgnl Med Ctr
Adventhealth Shawnee Mission
Shawnee Mission Medical Ctr
Bradshaw, Sarah E, MD, (F), B
Group Name: Allen County
Hospital
Provider ID: 005172226003
NPI: 1134362015
401 S Washington Ave
Iola, KS 66749
(620) 228-6050 EB, P, R
Ages: 0-99
Hospital Affiliations:
Overland Park Rgnl Med Ctr
Adventhealth Shawnee Mission
Shawnee Mission Medical Ctr
Neely, Brian, MD, (M), B
Group Name: Allen County
Hospital
Provider ID: 005733674004
NPI: 1851654420
111 S 9th St
Humboldt, KS 66748
(620) 473-3008 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Neely, Brian, MD, (M), B
Group Name: Allen County
Hospital
Provider ID: 005733674003
NPI: 1851654420
304 N Cedar St
Moran, KS 66755
(620) 237-4205 EB, P, R
Tu,We - 1:00 PM - 5:00 PM
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Neely, Brian, MD, (M), B
Group Name: Allen County
Hospital
Provider ID: 005733674005
NPI: 1851654420
3066 N Kentucky St
Iola, KS 66749
(620) 365-1013 E, EB, IB, P, R, S
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Neely, Brian, MD, (M), B
Group Name: Allen County
Hospital
Provider ID: 005733674006
Primary Care Providers / Proveedores De Cuidado Primario Kansas - Allen
Unless noted, all providers accept new patients. All providers are proficient in English unless otherwise noted.
A menos que este anotado aceptan pacientes nuevos. Todos los proveedores son expertos en inglés a menos
que se indique lo contrario.
28
CSKS.15.999.07.9.008
www.url.com
NPI: 1851654420
401 S Washington
Iola, KS 66749
(620) 365-6933 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Neely, Brian, MD, (M), B
Group Name: Allen County
Hospital
Provider ID: 005733674002
NPI: 1851654420
401 S Washington Ave
Iola, KS 66749
(620) 365-6933 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Porter, Frank O, DO, (M)
Group Name: Family Physicians
Provider ID: 000628690002
NPI: 1417914490
1408 East St
Iola, KS 66749
(620) 365-3115 P, PL, R
Does Not Accept New Patients
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Porter, Frank O, DO, (M)
Group Name: Allen County
Hospital
Provider ID: 000628690008
NPI: 1417914490
3066 N Kentucky St
Iola, KS 66749
(620) 365-1013 E, EB, IB, P, R, S
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Porter, Frank O, DO, (M)
Group Name: Allen County
Hospital
Provider ID: 000628690005
NPI: 1417914490
401 S Washington
Iola, KS 66749
(620) 365-1013 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Self, Maxwell J, MD, (M), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 001618140027
NPI: 1497736011
2051 N State St
Iola, KS 66749
(620) 280-6600 EB, P, R
Ages: 0-99
Hospital Affiliations:
Mercy Hospital Fort Scott
Mercy Hospital
Via Christi Hospital Manhattan
Spears, Timothy C, DO, (M)
Group Name: Family Physicians
Provider ID: 001610937002
NPI: 1639173156
1408 East St
Iola, KS 66749
(620) 365-3115 P, PL, R
Ages: 0-99
Hospital Affiliations:
Coffey County Hospital
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Spears, Timothy C, DO, (M)
Group Name: Allen County
Hospital
Provider ID: 001610937013
NPI: 1639173156
3066 N Kentucky St
Iola, KS 66749
(620) 365-1000 E, EB, IB, P, R, S
Ages: 0-99
Hospital Affiliations:
Coffey County Hospital
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Stone, Wesley D, MD, (M), B
Group Name: Allen County
Hospital
Provider ID: 001618677005
NPI: 1235191453
401 S Washington Ave
Iola, KS 66749
(620) 365-6933 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Thomen, Robert K, MD, (M), B
Group Name: Ashley Clinic
Provider ID: 000663490011
NPI: 1578553137
204 S 9th St
Humboldt, KS 66748
(620) 431-2500 EB, P, R
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Kansas - Allen Primary Care Providers / Proveedores De Cuidado Primario
= Wheelchair/Con Acceso para Silla de Ruedas = Provider is within one (1) mile of publictransportation/Proveedor está dentro de una (1) milla del transporte público B = Board Certified/Certificadopor la Junta Médica P = Parking/Estacionamiento EB = Exterior Building/Parte exterior del edificioIB = Interior Building/Parte interior del edificio R = Restroom/Bano E = Exam Room/Sala de examenesT = Exam Table/Scale/Chairs/Camilla de examenes/Bascula/Sillas G = Gurneys & Stretchers/CamillasPL = Portable Lifts/Elevadores portatiles RE = Radiologic Equipment/Equipo radiologico S = Signage &Documents/Documentos y letreros = 24-hour / Horas
29
CSKS.15.999.07.9.008
Wanker, Charles J, MD, (M), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 005502364013
NPI: 1609835446
2051 N State St
Iola, KS 66749
(620) 856-2900 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Watson, Rebecca L, MD, (F), B
Group Name: Allen County
Hospital
Provider ID: 002814779009
NPI: 1346388196
1408 East St
Iola, KS 66749
(620) 365-3115 EB, P, PL, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Neosho Memorial Regional Med
Ctr
Watson, Rebecca L, MD, (F), B
Group Name: Allen County
Hospital
Provider ID: 002814779011
NPI: 1346388196
3066 N Kentucky St
Iola, KS 66749
(620) 365-1000 E, EB, IB, P, R, S
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Neosho Memorial Regional Med
Ctr
Wolfe, Brian D, MD, (M), B
Group Name: Community Health
Center Of Southeast
Provider ID: 000026390018
NPI: 1396749172
2051 N State St
Iola, KS 66749
(620) 856-2900 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Youtsos, Jacqueline M, MD, (F),
B
Group Name: Renu Medical &
Spa
Provider ID: 003503938007
NPI: 1780950352
3066 N Kentucky St
Iola, KS 66749
(620) 308-6123 E, EB, IB, P, R, S
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Nevada Regional Medical Center
Federally Qualified Health Care
Agency / Agencia De Salud
Federalmente Calificados
Community Health Center Of
Southeast Kan
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003400612027
NPI: 1063844629
1408 East St
Iola, KS 66749
(620) 365-6600 EB, P, PL, R
Ages: 0-99
Community Health Center Of
Southeast Kan
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003400612018
NPI: 1063844629
1408 East St Ste C
Iola, KS 66749
(620) 380-6600 EB, P, R
Ages: 0-99
Community Health Center Of
Southeast Kan
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003400612046
NPI: 1063844629
2051 N State St
Iola, KS 66749
(620) 380-6600 EB, P, R
Ages: 0-99
Internal Medicine / Medicina
Interna
Huerter, David F, MD, (M), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 002546422021
NPI: 1679685986
2051 N State St
Iola, KS 66749
(913) 795-8302 EB, P, R
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Nurse Practitioner / Enfermera
Especialista
Brennan, Brenda S, NP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 002266209015
Primary Care Providers / Proveedores De Cuidado Primario Kansas - Allen
Unless noted, all providers accept new patients. All providers are proficient in English unless otherwise noted.
A menos que este anotado aceptan pacientes nuevos. Todos los proveedores son expertos en inglés a menos
que se indique lo contrario.
30
CSKS.15.999.07.9.008
NPI: 1619979440
2051 N State St
Iola, KS 66749
(620) 380-6600 EB, P, R
Ages: 0-99
Britt, Geraldine, NP, (F)
Group Name: Ashley Clinic
Provider ID: 007203462002
NPI: 1396397550
202 S 9th St
Humboldt, KS 66748
(620) 473-2275 EB, P, R
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Carl, William T, NP, (M)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 002952211015
NPI: 1063604940
2051 N State St
Iola, KS 66749
(620) 380-6600 EB, P, R
Ages: 0-99
Dick, Erika D, NP, (F)
Group Name: Ashley Clinic
Provider ID: 006065637007
NPI: 1245685403
202 S 9th St
Humboldt, KS 66748
(620) 431-2500
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Dick, Erika D, NP, (F)
Group Name: Ashley Clinic
Provider ID: 006065637006
NPI: 1245685403
204 S 9th St
Humboldt, KS 66748
(620) 431-2500 EB, P, R
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Eccles, Kelli J, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 005726842002
NPI: 1003284449
2051 N State St
Iola, KS 66749
(620) 856-2900 EB, P, R
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
French, Rebecca A, NP, (F)
Group Name: Allen County
Hospital
Provider ID: 003059109011
NPI: 1619169398
1408 East St
Iola, KS 66749
(620) 365-3115 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
French, Rebecca A, NP, (F)
Group Name: Allen County
Hospital
Provider ID: 003059109010
NPI: 1619169398
3066 N Kentucky St
Iola, KS 66749
(620) 365-1000 E, EB, IB, P, R, S
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Garretson, Whitney, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 007059274008
NPI: 1619448552
2051 N State St
Iola, KS 66749
(620) 856-2900 EB, P, R
Ages: 0-99
Areas of Expertise: MAT1
Gilreath, Christy A, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 006935893007
NPI: 1366921504
1106 S Ninth St
Humboldt, KS 66748
(620) 473-2241
Ages: 0-99
Gilreath, Christy A, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 006935893013
NPI: 1366921504
2051 N State St
Iola, KS 66749
(620) 717-4450 EB, P, R
Ages: 0-99
Kale, Stacey L, NP, (F)
Group Name: Allen County
Hospital
Provider ID: 006119748003
NPI: 1336510312
3066 N Kentucky St
Iola, KS 66749
(620) 365-1000 E, EB, IB, P, R, S
Ages: 0-99
King, Jenna N, FNP, (F)
Group Name: Renu Medical &
Kansas - Allen Primary Care Providers / Proveedores De Cuidado Primario
= Wheelchair/Con Acceso para Silla de Ruedas = Provider is within one (1) mile of publictransportation/Proveedor está dentro de una (1) milla del transporte público B = Board Certified/Certificadopor la Junta Médica P = Parking/Estacionamiento EB = Exterior Building/Parte exterior del edificioIB = Interior Building/Parte interior del edificio R = Restroom/Bano E = Exam Room/Sala de examenesT = Exam Table/Scale/Chairs/Camilla de examenes/Bascula/Sillas G = Gurneys & Stretchers/CamillasPL = Portable Lifts/Elevadores portatiles RE = Radiologic Equipment/Equipo radiologico S = Signage &Documents/Documentos y letreros = 24-hour / Horas
31
CSKS.15.999.07.9.008
Spa
Provider ID: 006325086004
NPI: 1588108187
3066 N Kentucky St
Iola, KS 66749
(620) 308-6123 E, EB, IB, P, R, S
Th - 9:30 AM - 3:30 PM
Ages: 0-99
Lesher, Margaret L, FNP, (F)
Group Name: Allen County
Hospital
Provider ID: 002975460004
NPI: 1518928068
401 S Washington
Iola, KS 66749
(620) 365-6933 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Lesher, Margaret L, FNP, (F)
Group Name: Allen County
Hospital
Provider ID: 002975460003
NPI: 1518928068
401 S Washington Ave
Iola, KS 66749
(620) 365-6933 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Orellana, Tracy M, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 007171937013
NPI: 1003379629
2051 N State St
Iola, KS 66749
(620) 856-2900 EB, P, R
Ages: 0-99
Roach, Justin T, FNP, (M)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 007190969007
NPI: 1851950364
2051 N State St
Iola, KS 66749
(620) 856-2900 EB, P, R
Ages: 0-99
Sell, Anissa L, RN, (F)
Group Name: Allen County
Hospital
Provider ID: 006071272004
NPI: 1437510757
3066 N Kentucky St
Iola, KS 66749
(620) 365-1000 E, EB, IB, P, R, S
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Simpson, Samantha K, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 007179562011
NPI: 1407417165
2051 N State St
Iola, KS 66749
(913) 795-8302 EB, P, R
Ages: 0-99
Smith, Benjamin, NP, (M)
Group Name: Allen County
Hospital
Provider ID: 007355836003
NPI: 1962063362
3066 N Kentucky St
Iola, KS 66749
(620) 365-1000 E, EB, IB, P, R, S
Ages: 0-99
Splechter, Erin, NP, (F)
Group Name: Allen County
Hospital
Provider ID: 007264408004
NPI: 1982264065
111 S 9th St
Humboldt, KS 66748
(620) 473-3008 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Splechter, Erin, NP, (F)
Group Name: Allen County
Hospital
Provider ID: 007264408006
NPI: 1982264065
304 N Cedar St
Moran, KS 66755
(620) 237-4205 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Splechter, Erin, NP, (F)
Group Name: Allen County
Hospital
Provider ID: 007264408005
NPI: 1982264065
401 S Washington
Iola, KS 66749
(620) 365-6933 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Splitter, Dena L, NP, (F)
Group Name: Allen County
Primary Care Providers / Proveedores De Cuidado Primario Kansas - Allen
Unless noted, all providers accept new patients. All providers are proficient in English unless otherwise noted.
A menos que este anotado aceptan pacientes nuevos. Todos los proveedores son expertos en inglés a menos
que se indique lo contrario.
32
CSKS.15.999.07.9.008
Hospital
Provider ID: 005982101001
NPI: 1023487527
3066 N Kentucky St
Iola, KS 66749
(620) 365-3115 E, EB, IB, P, R, S
Ages: 0-99
Hospital Affiliations:
Mercy Hospital
Mercy Hospital Carthage
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Mercy Hospital Joplin
Mercy Regional Health Ctr
College Campus
Thompson, Patricia R, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003010546014
NPI: 1689866568
2051 N State St
Iola, KS 66749
(620) 577-2131 EB, P, R
Ages: 0-99
Valdez, Jennifer A, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 005471108025
NPI: 1205223013
2051 N State St
Iola, KS 66749
(620) 856-2900 EB, P, R
Ages: 0-99
Yokum, Kathi, NP, (F)
Group Name: Ashley Clinic
Provider ID: 005210717004
NPI: 1255740171
202 S 9th St
Humboldt, KS 66748
(620) 431-2500
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Yokum, Kathi, NP, (F)
Group Name: Ashley Clinic
Provider ID: 005210717003
NPI: 1255740171
204 S 9th St
Humboldt, KS 66748
(620) 431-2500 EB, P, R
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Physician Assistant / Asistente
Médico
Clift, Sara M, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 002915328004
NPI: 1811994536
401 S Washington Ave
Iola, KS 66749
(620) 365-6933 EB, P, R
Ages: 0-99
Hospital Affiliations:
Allen County Hospital
Saint Lukes Hospital Of Allen
County
Curl, Joanna, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 003403523003
NPI: 1114234473
111 S 9th St
Humboldt, KS 66748
(620) 473-3008 EB, P, R
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Curl, Joanna, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 003403523008
NPI: 1114234473
304 N Cedar St
Moran, KS 66755
(620) 237-4205 EB, P, R
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Curl, Joanna, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 003403523010
NPI: 1114234473
3066 N Kentucky St
Iola, KS 66749
(620) 365-1013 E, EB, IB, P, R, S
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Curl, Joanna, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 003403523007
NPI: 1114234473
401 S Washington
Iola, KS 66749
(620) 365-1013 EB, P, R
Ages: 0-99
Hospital Affiliations:
Neosho Memorial Regional Med
Ctr
Hunt, Amy L, PA, (F)
Group Name: Community Health
Center Of Southeast
Provider ID: 005133714011
NPI: 1093114076
Kansas - Allen Primary Care Providers / Proveedores De Cuidado Primario
= Wheelchair/Con Acceso para Silla de Ruedas = Provider is within one (1) mile of publictransportation/Proveedor está dentro de una (1) milla del transporte público B = Board Certified/Certificadopor la Junta Médica P = Parking/Estacionamiento EB = Exterior Building/Parte exterior del edificioIB = Interior Building/Parte interior del edificio R = Restroom/Bano E = Exam Room/Sala de examenesT = Exam Table/Scale/Chairs/Camilla de examenes/Bascula/Sillas G = Gurneys & Stretchers/CamillasPL = Portable Lifts/Elevadores portatiles RE = Radiologic Equipment/Equipo radiologico S = Signage &Documents/Documentos y letreros = 24-hour / Horas
33
CSKS.15.999.07.9.008
2051 N State St
Iola, KS 66749
(620) 856-2900 EB, P, R
Ages: 0-99
Mueller, Brieanna L, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 006970446004
NPI: 1033693833
111 S 9th St
Humboldt, KS 66748
(620) 473-3008 EB, P, R
Ages: 0-99
Mueller, Brieanna L, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 006970446003
NPI: 1033693833
304 N Cedar St
Moran, KS 66755
(620) 237-4206 EB, P, R
Ages: 0-99
Mueller, Brieanna L, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 006970446001
NPI: 1033693833
401 S Washington
Iola, KS 66749
(620) 228-6050 EB, P, R
Ages: 0-99
Mueller, Brieanna L, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 006970446002
NPI: 1033693833
401 S Washington Ave
Iola, KS 66749
(620) 365-6933 EB, P, R
Ages: 0-99
Simko, Mellissa D, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 003015681002
NPI: 1821076514
3066 N Kentucky St
Iola, KS 66749
(620) 365-1000 E, EB, IB, P, R, S
Accepting Existing Patients Only
Ages: 0-99
Hospital Affiliations:
Wesley Medical Center
Simko, Mellissa D, PA, (F)
Group Name: Allen County
Hospital
Provider ID: 003015681005
NPI: 1821076514
401 S Washington Ave
Iola, KS 66749
(620) 365-1013 EB, P, R
Accepting Existing Patients Only
Ages: 0-99
Hospital Affiliations:
Wesley Medical Center
Rural Health Clinic / Clínica De
Salud Rural
Family Physicians
Provider ID: 003544526001
NPI: 1851325773
1408 East St
Iola, KS 66749
(620) 365-3115 P, PL, R
Ages: 0-99
Family Physicians
Provider ID: 003544526003
NPI: 1851325773
304 N Cedar St
Moran, KS 66755
(620) 237-4621 EB, P, R
Ages: 0-99
Barber
Family Practice / Medicina
Familiar
Bliss, Kirk R, DO, (M), B
Group Name: Kiowa District
Hospital/Prof F
Provider ID: 002710739006
NPI: 1043224603
1002 S 4th St
Kiowa, KS 67070
(620) 825-4131 EB, P, R
Ages: 0-99
Hospital Affiliations:
Wesley Medical Center
Via Christi Hospitals Wichita
Morsch, Gary B, MD, (M)
Group Name: Medicine Lodge
Memorial Hosp Phys Clinic
Provider ID: 006631012004
NPI: 1851367809
710 N Walnut St
Medicine Lodge, KS 67104
(620) 886-3771 EB, P, R
Ages: 0-99
Hospital Affiliations:
Jamaica Hospital
Wilhelm, Paul G, MD, (M), B
Group Name: Kiowa District
Hospital/Prof F
Provider ID: 002470047002
NPI: 1518959873
1002 S 4th St
Kiowa, KS 67070
(620) 825-4121 EB, P, R
Mo-We - 8:30 AM - 5:00 PM
Ages: 0-99
Hospital Affiliations:
Kiowa District Hospital
Primary Care Providers / Proveedores De Cuidado Primario Kansas - Barber
Unless noted, all providers accept new patients. All providers are proficient in English unless otherwise noted.
A menos que este anotado aceptan pacientes nuevos. Todos los proveedores son expertos en inglés a menos
que se indique lo contrario.
34
CSKS.15.999.07.9.008
Internal Medicine / Medicina
Interna
Yaghmai, Elisha N, MD, (M), B
Group Name: Vigilias LLC
Provider ID: 003465633036
NPI: 1063618544
1002 S 4th St
Kiowa, KS 67070
(800) 924-8140 EB, P, R
Ages: 0-99
Hospital Affiliations:
Wesley Medical Center
Swedish Medical Center
Yaghmai, Elisha N, MD, (M), B
Group Name: Medicine Lodge
Memorial Hosp Phys Clinic
Provider ID: 003465633002
NPI: 1063618544
710 N Walnut St
Medicine Lodge, KS 67104
(620) 886-3771 EB, P, R
Ages: 0-99
Hospital Affiliations:
Wesley Medical Center
Swedish Medical Center
Nurse Practitioner / Enfermera
Especialista
Martin, Christopher P, NP, (M)
Group Name: Medicine Lodge
Memorial Hosp Phys Clinic
Provider ID: 005187272001
NPI: 1407288640
710 N Walnut St
Medicine Lodge, KS 67104
(620) 930-3761 EB, P, R
Mo-Fr - 9:30 AM - 5:30 PM
Ages: 0-99
Hospital Affiliations:
Medicine Lodge Memorial
Hospital
Mcnamar, Patricia, NP, (F)
Group Name: Medicine Lodge
Memorial Hosp Phys Clinic
Provider ID: 002953160003
NPI: 1538135389
710 N Walnut St
Medicine Lodge, KS 67104
(620) 886-3771 EB, P, R
Mo-Th - 8:00 AM - 5:00 PM
Fr - 8:00 AM - 12:00 PM
Ages: 0-99
Hospital Affiliations:
Kiowa District Hospital
Medicine Lodge Memorial
Hospital
Wilkins, Mary E, NP, (F)
Group Name: Kiowa District
Hospital/Prof F
Provider ID: 006270392002
NPI: 1124574066
1002 S 4th St
Kiowa, KS 67070
(620) 825-4131 EB, P, R
Ages: 0-99
Hospital Affiliations:
Ou Medical Center Edmond
Kiowa District Hospital
Physician Assistant / Asistente
Médico
Kisner, Nancy L, PA, (F)
Group Name: Medicine Lodge
Memorial Hosp Phys Clinic
Provider ID: 002977511002
NPI: 1780653436
710 N Walnut St
Medicine Lodge, KS 67104
(620) 886-5949 EB, P, R
Ages: 0-99
Schreiner, Lois L, PA, (F)
Group Name: Medicine Lodge
Memorial Hosp Phys Clinic
Provider ID: 002953506001
NPI: 1407961493
710 N Walnut St
Medicine Lodge, KS 67104
(620) 886-5949 EB, P, R
Mo-Th - 8:00 AM - 5:00 PM
Fr - 8:00 AM - 12:00 PM
Ages: 0-99
Hospital Affiliations:
Medicine Lodge Memorial
Hospital
Rural Health Clinic / Clínica De
Salud Rural
Kiowa District Hosp Clinic
Provider ID: 003544715004
NPI: 1093708596
1002 S 4th St
Kiowa, KS 67070
(620) 825-4131 EB, P, R
Ages: 0-99
Kiowa District Hosp Clinic
Provider ID: 003544715005
NPI: 1093708596
810 Drumm St
Kiowa, KS 67070
(620) 825-4131 EB, P, R
Ages: 0-99
Main Street Clinic
Provider ID: 006358762001
439 Main St
Kiowa, KS 67070
(316) 825-4131 EB, P, R
Ages: 0-99
Medicine Lodge Memorial Hosp
Phys Clinic
Provider ID: 003580864002
NPI: 1083702369
710 N Walnut St
Medicine Lodge, KS 67104
Kansas - Barber Primary Care Providers / Proveedores De Cuidado Primario
= Wheelchair/Con Acceso para Silla de Ruedas = Provider is within one (1) mile of publictransportation/Proveedor está dentro de una (1) milla del transporte público B = Board Certified/Certificadopor la Junta Médica P = Parking/Estacionamiento EB = Exterior Building/Parte exterior del edificioIB = Interior Building/Parte interior del edificio R = Restroom/Bano E = Exam Room/Sala de examenesT = Exam Table/Scale/Chairs/Camilla de examenes/Bascula/Sillas G = Gurneys & Stretchers/CamillasPL = Portable Lifts/Elevadores portatiles RE = Radiologic Equipment/Equipo radiologico S = Signage &Documents/Documentos y letreros = 24-hour / Horas
35
CSKS.15.999.07.9.008
(620) 886-3771 EB, P, R
Web address: www.mlmh.net/about
-us
Ages: 0-99
Bourbon
Advanced Registered Nurse
Practitioner / Enfermera
Registrada Avanzada
Gordon, Anne M, NP, (F)
Group Name: Mercy Physicians
Group
Provider ID: 003274567001
NPI: 1285866681
403 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-4100 EB, P, R
Ages: 0-99
Perkins, Hilah S, NP, (F)
Group Name: Via Christi Phys &
Prof Svcs
Provider ID: 002951076007
NPI: 1336150010
1621 S Main St
Fort Scott, KS 66701
(620) 223-5350 EB, P, PL, R
Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM
We - 1:00 PM - 4:30 PM
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Family Nurse Practitioner /
Enfermera De Familia
O'dell, Anna K, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 006878008004
NPI: 1275019689
1624 S National Ave
Fort Scott, KS 66701
(620) 223-8428 EB, P, R
Languages Spoken:
Provider: Spanish
Ages: 0-99
Welch, Kelsey R, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 005620564012
NPI: 1932576642
1624 S National Ave
Fort Scott, KS 66701
(620) 223-8428 EB, P, R
Ages: 0-99
Hospital Affiliations:
Miami County Medical Center
Welch, Kelsey R, FNP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 005620564010
NPI: 1932576642
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Ages: 0-99
Hospital Affiliations:
Miami County Medical Center
Family Practice / Medicina
Familiar
Allen, Jay L, MD, (M)
Group Name: Mercy Physicians
Group
Provider ID: 001618153001
NPI: 1447231717
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-2200 EB, P, R
Mo-Sa - 7:00 AM - 7:00 PM
Ages: 0-99
Hospital Affiliations:
Mercy Hospital Fort Scott
Mercy Hospital
Via Christi Hospital Manhattan
Burke, Katrina M, MD, (F)
Group Name: Via Christi Phys &
Prof Svcs
Provider ID: 003677705015
NPI: 1720399090
109 S Main St
Fort Scott, KS 66701
(620) 223-7008 EB, P, R
Mo-Fr - 8:00 AM - 4:30 PM
Web address: www.viachristi.org
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Burke, Katrina M, MD, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003677705016
NPI: 1720399090
1624 S National Ave
Fort Scott, KS 66701
(620) 223-8428 EB, P, R
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Burke, Katrina M, MD, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003677705008
NPI: 1720399090
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Web address: www.viachristi.org
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Burke, Katrina M, MD, (F)
Group Name: Mercy Physicians
Group
Provider ID: 003677705001
Primary Care Providers / Proveedores De Cuidado Primario Kansas - Bourbon
Unless noted, all providers accept new patients. All providers are proficient in English unless otherwise noted.
A menos que este anotado aceptan pacientes nuevos. Todos los proveedores son expertos en inglés a menos
que se indique lo contrario.
36
CSKS.15.999.07.9.008
NPI: 1720399090
403 Woodland Hills Blvd Ste A
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Gault, Holly R, MD, (F), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 006195184026
NPI: 1497194781
1624 S National Ave
Fort Scott, KS 66701
(620) 223-8428 EB, P, R
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Gault, Holly R, MD, (F), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 006195184028
NPI: 1497194781
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Gugnani, Pankaj K, MD, (M), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 002590134011
NPI: 1386625903
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Languages Spoken:
Provider: Arabic
Ages: 0-99
Hospital Affiliations:
Mercy Hospital Fort Scott
Mercy Hospital
Via Christi Hospital Manhattan
Kellenberger, Ricky D, DO, (M),
B
Group Name: Fort Scott Medicine
Provider ID: 002262509008
NPI: 1700864568
202 State St Ste A
Fort Scott, KS 66701
(620) 223-3950 EB, P, R
Web address: www.nevadamedicalc
linic.com
Accepting Existing Patients Only
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Lees Summit Medical Center
Nevada Regional Medical Center
Areas of Expertise: MAT1
Kellenberger, Ricky D, DO, (M),
B
Group Name: Fort Scott Medicine
Provider ID: 002262509014
NPI: 1700864568
323 S Judson St Ste 110
Fort Scott, KS 66701
(620) 223-3950 EB, IB, P, R
Accepting Existing Patients Only
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Lees Summit Medical Center
Nevada Regional Medical Center
Areas of Expertise: MAT1
Self, Maxwell J, MD, (M), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 001618140026
NPI: 1497736011
1624 S National Ave
Fort Scott, KS 66701
(620) 223-8428 EB, P, R
Ages: 0-99
Hospital Affiliations:
Mercy Hospital Fort Scott
Mercy Hospital
Via Christi Hospital Manhattan
Self, Maxwell J, MD, (M), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 001618140017
NPI: 1497736011
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Ages: 0-99
Hospital Affiliations:
Mercy Hospital Fort Scott
Mercy Hospital
Via Christi Hospital Manhattan
Self, Maxwell J, MD, (M), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 001618140011
NPI: 1497736011
403 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Ages: 0-99
Hospital Affiliations:
Mercy Hospital Fort Scott
Mercy Hospital
Via Christi Hospital Manhattan
Federally Qualified Health Care
Agency / Agencia De Salud
Federalmente Calificados
Community Health Center Of
Southeast Kan
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003400612057
NPI: 1063844629
1624 S National Ave
Kansas - Bourbon Primary Care Providers / Proveedores De Cuidado Primario
= Wheelchair/Con Acceso para Silla de Ruedas = Provider is within one (1) mile of publictransportation/Proveedor está dentro de una (1) milla del transporte público B = Board Certified/Certificadopor la Junta Médica P = Parking/Estacionamiento EB = Exterior Building/Parte exterior del edificioIB = Interior Building/Parte interior del edificio R = Restroom/Bano E = Exam Room/Sala de examenesT = Exam Table/Scale/Chairs/Camilla de examenes/Bascula/Sillas G = Gurneys & Stretchers/CamillasPL = Portable Lifts/Elevadores portatiles RE = Radiologic Equipment/Equipo radiologico S = Signage &Documents/Documentos y letreros = 24-hour / Horas
37
CSKS.15.999.07.9.008
Fort Scott, KS 66701
(620) 223-8428 EB, P, R
Ages: 0-99
Community Health Center Of
Southeast Kan
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003400612062
NPI: 1063844629
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Ages: 0-99
Community Health Center Of
Southeast Kan
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003400612060
NPI: 1063844629
403 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Ages: 0-99
General Practice / Medicina
General
Kellenberger, Ricky D, DO, (M),
B
Group Name: Fort Scott Medicine
Provider ID: 002262509008
NPI: 1700864568
202 State St Ste A
Fort Scott, KS 66701
(620) 223-3950 EB, P, R
Web address: www.nevadamedicalc
linic.com
Accepting Existing Patients Only
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Lees Summit Medical Center
Nevada Regional Medical Center
Areas of Expertise: MAT1
Kellenberger, Ricky D, DO, (M),
B
Group Name: Fort Scott Medicine
Provider ID: 002262509014
NPI: 1700864568
323 S Judson St Ste 110
Fort Scott, KS 66701
(620) 223-3950 EB, IB, P, R
Accepting Existing Patients Only
Ages: 0-99
Hospital Affiliations:
Via Christi Hospital Pittsburg
Lees Summit Medical Center
Nevada Regional Medical Center
Areas of Expertise: MAT1
Internal Medicine / Medicina
Interna
Stewart, Julie A, MD, (F), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003304291020
NPI: 1891958997
1624 S National Ave
Fort Scott, KS 66701
(620) 223-8428 EB, P, R
Ages: 21-99
Areas of Expertise: MAT1
Stewart, Julie A, MD, (F), B
Group Name: Community Health
Ctr Se Kansas
Provider ID: 003304291019
NPI: 1891958997
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-8040 EB, P, R
Ages: 21-99
Areas of Expertise: MAT1
Nurse Practitioner / Enfermera
Especialista
Becker, Jaima A, NP, (F)
Group Name: Community Health
Ctr Se Kansas
Provider ID: 006713771014
NPI: 1730687088
1624 S National Ave
Fort Scott, KS 66701
(620) 223-8428 EB, P, R
Ages: 0-99
Bernot, Travis B, FNP, (M)
Group Name: Pittsburgh
Emergency Physician
Provider ID: 006823273002
NPI: 1417442450
401 Woodland Hills Blvd
Fort Scott, KS 66701
(620) 223-7083 EB, P, R
Ages: 0-99
Eccles, Kelli J, FNP, (F)