| Fort Hays State University | |
|
600 Park St, Herndon Clinic Albertson Hall 131, Hays, KS 67601-4009 | |
| (785) 628-5366 | |
| (785) 628-5271 |
| Full Name | Fort Hays State University |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 600 Park St, Hays, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811101454 | NPI | - | NPPES |
| 116209 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Dallas L Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487645420 PECOS PAC ID: 7416903026 Enrollment ID: I20050328000279 |
| Provider Name | Melanie L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487903977 PECOS PAC ID: 3072750165 Enrollment ID: I20130509000104 |
| Provider Name | Tara Marshall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982839502 PECOS PAC ID: 1052638681 Enrollment ID: I20150319001957 |
| Provider Name | Jacque Jacobs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366561102 PECOS PAC ID: 1052638699 Enrollment ID: I20150319002008 |
| Provider Name | Meredith L Lewallen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174050785 PECOS PAC ID: 1850660275 Enrollment ID: I20170628001879 |
| Provider Name | Blake W Roth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396268728 PECOS PAC ID: 7810260205 Enrollment ID: I20180309000666 |
| Provider Name | Kiedra M Hickert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891285292 PECOS PAC ID: 2567717739 Enrollment ID: I20180613000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Hays State University 600 Park St, Herndon Clinic Albertson Hall 131, Hays, KS 67601-4009 Ph: (785) 628-5366 | Fort Hays State University 600 Park St, Herndon Clinic Albertson Hall 131, Hays, KS 67601-4009 Ph: (785) 628-5366 |
Ms. June M. Knittel, M.S., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2705 Vine, Northridge Plaza #3, Hays, KS 67601 Phone: 785-628-2514 Fax: 785-628-2514 | |
Dr. Lisa Knoche Kite, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 310 W 20th St, Hays, KS 67601 Phone: 405-714-1392 | |
Dr. Frederick Britten, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 600 Park St, Fort Hays State University Herndon Clinic, Hays, KS 67601 Phone: 785-628-5366 Fax: 785-628-5271 | |
Lindsey M Stephenson, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2214 Canterbury Dr Ste 304, Hays, KS 67601 Phone: 785-650-2880 |