Dr Cecily Anne Clark-ganheart, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Stilwell, Kansas. Her current practice location is
16240 Foster St, Stilwell, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 291-0069.
Dr Cecily Anne Clark-ganheart is licensed to practice in Kansas (license number 0438153) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720234107.
Physician's Profile
| Full Name | Dr Cecily Anne Clark-ganheart |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
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| Location | 16240 Foster St, Stilwell, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720234107
- Provider Enumeration Date: 08/17/2008
- Last Update Date: 01/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 1153570882
- Enrollment ID: I20151026001628
Medical Identifiers
Medical identifiers for Dr Cecily Anne Clark-ganheart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720234107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 0438153 (Kansas) | Primary |
| 207V00000X | Obstetrics & Gynecology | ABCDEFG1 (Ohio) | Secondary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 2015021377 (Missouri) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD040474 (District Of Columbia) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Cecily Anne Clark-ganheart allows following entities to bill medicare on her behalf.
| Entity Name | Freeman-oak Hill Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891809679
PECOS PAC ID: 8325942253
Enrollment ID: O20040107000022 |
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| Entity Name | Freeman-oak Hill Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679517023
PECOS PAC ID: 8325942253
Enrollment ID: O20040218000570 |
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| Entity Name | Kansas University Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922144856
PECOS PAC ID: 8921911587
Enrollment ID: O20101228000020 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cecily Anne Clark-ganheart is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Cecily Anne Clark-ganheart, MD
6085 W 183rd St,
Overland Park, KS 66085-8741
Ph: (269) 209-2048 | Dr Cecily Anne Clark-ganheart, MD
16240 Foster St,
Stilwell, KS 66085-8418
Ph: (913) 291-0069 |
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