| Brianne Clark, DO | |
|
709 W Oak, Ashland, KS 67831 | |
| (620) 635-2241 | |
| Not Available |
| Full Name | Brianne Clark |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 709 W Oak, Ashland, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497980254 | NPI | - | NPPES |
| 200294890A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-35880 (Kansas) | Primary |
| 207Q00000X | Family Medicine | 4889 (Oklahoma) | Secondary |
| Entity Name | Ashland District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073686002 PECOS PAC ID: 6800849324 Enrollment ID: O20050228000908 |
| Entity Name | Ashland District Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1265529614 PECOS PAC ID: 6800849324 Enrollment ID: O20061104000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Brianne Clark, DO Po Box 188, Ashland, KS 67831-0188 Ph: (620) 635-2241 | Brianne Clark, DO 709 W Oak, Ashland, KS 67831 Ph: (620) 635-2241 |
Dr. Daniel Keith Shuman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 Kentucky St, Ashland, KS 67831 Phone: 620-635-2241 | |
Dr. Zachary Noah Gastelum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 Kentucky St, Ashland, KS 67831 Phone: 620-635-2241 |