| Brian Joseph Jennings, MD | |
|
210 W 1st St, Saint Francis, KS 67756-3540 | |
| (785) 332-2104 | |
| (785) 332-3255 |
| Full Name | Brian Joseph Jennings |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 210 W 1st St, Saint Francis, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386024800 | NPI | - | NPPES |
| 30005022790001 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-41177 (Kansas) | Primary |
| 207Q00000X | Family Medicine | TL0005731 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | MD201060 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Satanta District Hospital | Satanta, KS | Hospital |
| Edwards County Hospital | Kinsley, KS | Hospital |
| Phillips County Hospital | Phillipsburg, KS | Hospital |
| Sedan City Hospital | Sedan, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Plains Of Cheyenne Co Inc | 7517958523 | 10 |
| Satanta District Hospital And Long-term Care | 5991616054 | 12 |
| Edwards County Hospital And Healthcare Center | 2264343383 | 9 |
| Entity Name | Satanta District Hospital And Long-term Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144312844 PECOS PAC ID: 5991616054 Enrollment ID: O20040311001369 |
| Entity Name | Great Plains Of Cheyenne Co Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982644936 PECOS PAC ID: 7517958523 Enrollment ID: O20040519001000 |
| Entity Name | Scott County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437187895 PECOS PAC ID: 5991773103 Enrollment ID: O20040923001249 |
| Entity Name | Rooks County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841570298 PECOS PAC ID: 8325959331 Enrollment ID: O20111025000737 |
| Entity Name | Rooks County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003209719 PECOS PAC ID: 8325959331 Enrollment ID: O20150528002334 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Joseph Jennings, MD 180 Ford Rd, John Day, OR 97845-2009 Ph: (541) 575-0404 | Brian Joseph Jennings, MD 210 W 1st St, Saint Francis, KS 67756-3540 Ph: (785) 332-2104 |
Heather Licke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W 1st St, Saint Francis, KS 67756 Phone: 785-332-2682 Fax: 785-332-2516 |