| Mr Ian C Gingrich-gaylord, LCPC | |
|
1901 E 1st St, Newton, KS 67114-5010 | |
| (316) 284-6361 | |
| Not Available |
| Full Name | Mr Ian C Gingrich-gaylord |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1901 E 1st St, Newton, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427367150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2192 (Kansas) | Primary |
| Entity Name | Prairie View Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558426486 PECOS PAC ID: 5496652471 Enrollment ID: O20031217000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ian C Gingrich-gaylord, LCPC 1901 E 1st St, Newton, KS 67114-5010 Ph: (316) 284-6361 | Mr Ian C Gingrich-gaylord, LCPC 1901 E 1st St, Newton, KS 67114-5010 Ph: (316) 284-6361 |
Brian S Mills, PH.D., LCPC Counselor Medicare: Medicare Enrolled Practice Location: 2119 Bristol Ln, Newton, KS 67114 Phone: 316-217-1892 | |
Kimberly Brown, LAC, MPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E 5th St, Newton, KS 67114 Phone: 316-283-6743 | |
Julie Hendricks, TLAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E 5th St, Newton, KS 67114 Phone: 316-283-6743 Fax: 316-283-6830 | |
Meghan Ugues-chavarria, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 E 1st St, Newton, KS 67114 Phone: 316-284-6400 | |
Jack Greever, LMSW. LMAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 N Duncan St, Newton, KS 67114 Phone: 785-230-7394 Fax: 785-267-0573 | |
Mr. Zane Daniel Raber, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St Ste 154, Newton, KS 67114 Phone: 316-227-0431 Fax: 888-751-5997 | |
Beverly Metcalf, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E 5th St, Newton, KS 67114 Phone: 316-283-6743 Fax: 316-283-6830 |