| Bridget C Grover, PA-C | |
|
2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | |
| (316) 858-2610 | |
| (316) 858-2793 |
| Full Name | Bridget C Grover |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2610 N Woodlawn Blvd, 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 |
|---|---|---|---|
| 1851595201 | NPI | - | NPPES |
| 200252120F | Medicaid | KS | |
| 200252120G | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-00926 (Kansas) | Primary |
| 207P00000X | Emergency Medicine | 15-00926 (Kansas) | Secondary |
| Entity Name | Long Term Care Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891069647 PECOS PAC ID: 3577723386 Enrollment ID: O20120330000613 |
| Entity Name | Truhealth LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20180607001526 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20240925002329 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget C Grover, PA-C 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 Ph: (316) 858-2610 | Bridget C Grover, PA-C 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 Ph: (316) 858-2610 |
George M Schroeder, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 324 N Emporia Ave Apt 703, Wichita, KS 67202 Phone: 615-440-2526 |
Lauren A Holmes, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 |
Chamil Fernando, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3417 S Meridian Ave, Wichita, KS 67217 Phone: 316-866-2078 |
Eric F Flores, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2239 Fax: 316-962-7334 |
Kristen Wolf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 N Woodlawn St, Wichita, KS 67220 Phone: 316-260-1690 Fax: 316-260-1691 |
Mrs. Sung Un E Hall, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4558 Fax: 316-609-4599 |
Audrey Eileen Griffin, PA (PHYSICIAN ASSIST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2239 |