Mr Carlos Vrijido Martinez, | |
720 Poyntz Ave, Manhattan, KS 66502 | |
(785) 320-6616 | |
(785) 320-6667 |
Full Name | Mr Carlos Vrijido Martinez |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 720 Poyntz Ave, Manhattan, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033388467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60580943 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LSCSW4773 (Kansas) | Primary |
Entity Name | Katies Way Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881096428 PECOS PAC ID: 1254664279 Enrollment ID: O20190606001608 |
Mailing Address | Practice Location Address |
---|---|
Mr Carlos Vrijido Martinez, 720 Poyntz Ave, Manhattan, KS 66502-6355 Ph: (785) 320-6616 | Mr Carlos Vrijido Martinez, 720 Poyntz Ave, Manhattan, KS 66502 Ph: (785) 320-6616 |
Heather Rose Heigert, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1115 Westport Dr # D2, Manhattan, KS 66502 Phone: 785-560-3101 Fax: 785-527-8317 | |
Carmen F Schwenk, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1408 Poyntz Ave, Manhattan, KS 66502 Phone: 785-776-4105 Fax: 785-537-2299 | |
Jessica R Courser, LSCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 322 Kearney St, Manhattan, KS 66502 Phone: 913-269-8050 | |
Melissa Eshelman, MSW, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1408 Poyntz Ave, Manhattan, KS 66502 Phone: 785-776-4105 Fax: 785-537-2299 | |
Marcie Lynn Robertson, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4201 Anderson Ave Ste D110, Manhattan, KS 66503 Phone: 785-539-5455 Fax: 785-776-7570 | |
Jessica Haymaker-parsons, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 330 Poyntz Ave Ste 276, Manhattan, KS 66502 Phone: 913-353-4062 |