| Susan L Carr, MD | |
|
1001 N Minneapolis, Wichita, KS 67214-3124 | |
| (316) 293-2647 | |
| (316) 293-1863 |
| Full Name | Susan L Carr |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1001 N Minneapolis, 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 |
|---|---|---|---|
| 1720041080 | NPI | - | NPPES |
| 040390 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0421888 (Kansas) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 0421888 (Kansas) | Secondary |
| Entity Name | University Of Kansas School Of Medicine Wichita Medical Practice Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639143712 PECOS PAC ID: 3577464841 Enrollment ID: O20040119000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Carr, MD 1010 N Kansas, Suite #3049, Wichita, KS 67214-3199 Ph: (316) 293-2647 | Susan L Carr, MD 1001 N Minneapolis, Wichita, KS 67214-3124 Ph: (316) 293-2647 |
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: May Accept Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647 | |
Deborah Kathleen Rose, Psychiatry & Neurology Medicare: Medicare Enrolled 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 |