| Meditelecare Of Kansas Llc | |
|
112 Sw 7th St Ste 3c Topeka KS 66603-3858 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Meditelecare Of Kansas Llc |
|---|---|
| Speciality | Psychologist |
| Location | 112 Sw 7th St Ste 3c, Topeka, Kansas |
| Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditelecare Of Kansas Llc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Meditelecare Of Kansas Llc 112 Sw 7th St Ste 3c Topeka KS 66603-3858 Ph: (860) 788-6404 |
| NPI Number | 1083116628 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 5294097549 |
|---|---|
| Medicare Enrollment ID | O20180326001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083116628 | NPI | - | NPPES |
| Provider Name | Tracey Litwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649532714 PECOS PAC ID: 9032366687 Enrollment ID: I20120904000545 |
| Provider Name | Heather Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972741387 PECOS PAC ID: 5698913358 Enrollment ID: I20130607000673 |
| Provider Name | Sue Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003244294 PECOS PAC ID: 7315177086 Enrollment ID: I20140224002068 |
| Provider Name | Jill S Nesbitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750715827 PECOS PAC ID: 5092020776 Enrollment ID: I20150811004450 |
| Provider Name | Courtney Patterson-manfredi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528465135 PECOS PAC ID: 5799068672 Enrollment ID: I20170220002436 |
| Provider Name | Glen Harnden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588182885 PECOS PAC ID: 8527342815 Enrollment ID: I20170921002094 |
| Provider Name | Erika N Geiggar-schad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639400740 PECOS PAC ID: 5890041735 Enrollment ID: I20180706000381 |
| Provider Name | Dana Eason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710190715 PECOS PAC ID: 7315267580 Enrollment ID: I20180823001637 |
| Provider Name | Glenna Rae Tolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720254816 PECOS PAC ID: 8628141355 Enrollment ID: I20190625003092 |
| Provider Name | Cheryl A France |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134144215 PECOS PAC ID: 1557550175 Enrollment ID: I20190701001473 |
| Provider Name | Kimberly Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902200645 PECOS PAC ID: 3072735703 Enrollment ID: I20200407003571 |
| Provider Name | Marie Bissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922393776 PECOS PAC ID: 2668650011 Enrollment ID: I20200615003007 |
| Provider Name | Melissa Jean Chalmers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245582055 PECOS PAC ID: 3173866688 Enrollment ID: I20200721000851 |
| Provider Name | Amy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851912257 PECOS PAC ID: 0840614657 Enrollment ID: I20200724002704 |
| Provider Name | Mardiya K Jaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215436076 PECOS PAC ID: 1254695042 Enrollment ID: I20201123002857 |
| Provider Name | Cristina Ruzila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568727550 PECOS PAC ID: 5799939039 Enrollment ID: I20210713001650 |
| Provider Name | Tatum Siebert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528389566 PECOS PAC ID: 8527462886 Enrollment ID: I20210809001451 |
| Provider Name | Jennifer Glidewell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588199970 PECOS PAC ID: 8325428907 Enrollment ID: I20220727004071 |
| Provider Name | Alicia Ottati |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174990972 PECOS PAC ID: 6204122187 Enrollment ID: I20220811003062 |
| Provider Name | Bryce Lefever |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205800620 PECOS PAC ID: 6204259625 Enrollment ID: I20220811003212 |
| Provider Name | Chioma Nwokoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134724982 PECOS PAC ID: 9335514926 Enrollment ID: I20230718003362 |
| Provider Name | Rebecca Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871224139 PECOS PAC ID: 8325411630 Enrollment ID: I20231009000611 |
Phoenix Solutions Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 29th St Ste 112b, Topeka, KS 66614 Phone: 785-338-0307 Fax: 785-246-8216 | |
Catholic Community Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 S Kansas Avenue, Topeka, KS 66603 Phone: 785-233-6300 Fax: 785-233-7234 | |
Four Winds Family Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 Sw Wanamaker Dr, Suite 6, Topeka, KS 66614 Phone: 785-845-5416 Fax: 785-271-5416 | |
Excursions Therapeutic Recreation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1327 Sw Pen Oak Pkwy, Topeka, KS 66615 Phone: 888-482-3335 | |
Valeo Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Sw Oakley Ave, Topeka, KS 66606 Phone: 785-273-2252 | |
Renew Therapy Group, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2703 Sw 29th St, Topeka, KS 66614 Phone: 785-608-6531 Fax: 785-215-6200 | |
Lizhao Wang Neuropsychological Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Sw 8th Ave, Topeka, KS 66606 Phone: 785-232-8542 Fax: 785-478-1791 |