| Dr Garry L Porter, MD | |
|
555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | |
| (316) 652-2590 | |
| (316) 652-2595 |
| Full Name | Dr Garry L Porter |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 555 N Woodlawn St Ste 102, 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 |
|---|---|---|---|
| 1114921699 | NPI | - | NPPES |
| 100085320C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 04-12872 (Kansas) | Primary |
| Entity Name | Mental Health Association Of South Central Kansas, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689710568 PECOS PAC ID: 1153400197 Enrollment ID: O20110407000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Garry L Porter, MD 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 Ph: (316) 652-2590 | Dr Garry L Porter, MD 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 Ph: (316) 652-2590 |
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: Accepting Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647 | |
Deborah Kathleen Rose, Psychiatry & Neurology Medicare: Accepting Medicare Assignments 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 |