| Alisha Coulson, MD | |
|
3600 E Harry St, Wichita, KS 67218-3713 | |
| (316) 858-0333 | |
| Not Available |
| Full Name | Alisha Coulson |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3600 E Harry St, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386931038 | NPI | - | NPPES |
| 201114270A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 04-37981 (Kansas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 7752 (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 |
|---|---|
| Alisha Coulson, MD 3600 E Harry St, Wichita, KS 67218-3713 Ph: (316) 858-0333 | Alisha Coulson, MD 3600 E Harry St, Wichita, KS 67218-3713 Ph: (316) 858-0333 |
Javanthi Theegala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Austin Armstrong, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647 | |
Deborah Kathleen Rose, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 801 E Douglas Ave Ofc 233, Wichita, KS 67202 Phone: 316-670-3800 | |
Dr. Gilmar Costa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Dr. Pete Haynes, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Mariana Berwerth Pereira, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Mercedes J Perales, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9333 E 21st St N, Wichita, KS 67206 Phone: 316-634-4700 Fax: 316-634-4770 |