| Kansas Care Connect, Llc | |
|
7111 E 21st St N Ste 104 Wichita KS 67206-1090 | |
| (316) 370-2406 | |
| (316) 803-1462 |
| Full Name | Kansas Care Connect, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7111 E 21st St N Ste 104, Wichita, Kansas |
| Authorized Official Name and Position | Rachael Rivero (OWNER) |
| Authorized Official Contact | 3163702406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas Care Connect, Llc 7111 E 21st St N Ste 104 Wichita KS 67206-1090 Ph: (316) 370-2406 | Kansas Care Connect, Llc 7111 E 21st St N Ste 104 Wichita KS 67206-1090 Ph: (316) 370-2406 |
| NPI Number | 1528756590 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Medicare PECOS PAC ID | 0648636910 |
|---|---|
| Medicare Enrollment ID | O20230512000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528756590 | NPI | - | NPPES |
| 3000496982001 | Medicaid | KS |
| Provider Name | Richard D Rivero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861468480 PECOS PAC ID: 7911972625 Enrollment ID: I20040826001254 |
| Provider Name | Rachael P Rivero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851716955 PECOS PAC ID: 4284866625 Enrollment ID: I20140416002411 |
| Provider Name | Sarah L Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891235644 PECOS PAC ID: 0143504258 Enrollment ID: I20170308001256 |
| Provider Name | Andrea D Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417462151 PECOS PAC ID: 1658630165 Enrollment ID: I20180108003035 |
| Provider Name | Shanell Bosch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497534465 PECOS PAC ID: 6901258185 Enrollment ID: I20240124000347 |
Wichita State University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Fairmount Box 91, Wichita, KS 67260 Phone: 502-821-7904 | |
Wichita Ocd Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 N Exposition St, Wichita, KS 67203 Phone: 316-854-3520 | |
Manatee Care P.a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4925 S Broadway Ave Unit 8181, Wichita, KS 67216 Phone: 213-558-4348 | |
Change Your Life Enterprises, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9505 W. Central, Ste. 103, Wichita, KS 67212 Phone: 316-721-0971 Fax: 316-512-4070 | |
Counseling & Mediation Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Douglas Ave Ste 560, Wichita, KS 67202 Phone: 316-269-2322 Fax: 316-269-2448 | |
Family Consultation Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 N. Exposition, Wichita, KS 67203 Phone: 316-264-8317 Fax: 316-264-0347 | |
Pathway Church Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 N Maize Rd, Wichita, KS 67212 Phone: 316-722-8020 Fax: 316-722-4297 |