| Heather Licke, MD | |
|
221 W 1st St, Saint Francis, KS 67756-3540 | |
| (785) 332-2682 | |
| (785) 332-2516 |
| Full Name | Heather Licke |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 221 W 1st St, Saint Francis, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093026429 | NPI | - | NPPES |
| 1093026429 | Other | KS | BCBS |
| 30004035620005 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7525 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 0435055 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Society Northwest Kansas Home Care | St francis, KS | Home health agency |
| L & C Home Health Agency Inc | Colby, KS | Home health agency |
| Hospice Services Inc | Phillipsburg, KS | Hospice |
| Cheyenne County Hospital | St francis, KS | Hospital |
| Goodland Regional Medical Center | Goodland, KS | Hospital |
| Citizens Medical Center | Colby, KS | Hospital |
| Hays Medical Center | Hays, KS | Hospital |
| Cheyenne County Village Inc | St francis, KS | Nursing home |
| Topside Manor Inc | Goodland, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Plains Of Cheyenne Co Inc | 7517958523 | 8 |
| 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 | Above All Care Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477049328 PECOS PAC ID: 0840537106 Enrollment ID: O20190124000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Licke, MD 221 W 1st St, Saint Francis, KS 67756-3540 Ph: (785) 332-2682 | Heather Licke, MD 221 W 1st St, Saint Francis, KS 67756-3540 Ph: (785) 332-2682 |
Brian Joseph Jennings, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 W 1st St, Saint Francis, KS 67756 Phone: 785-332-2104 Fax: 785-332-3255 |