| Brooke Thouvenot, | |
|
842 N Main St, Lansing, KS 66043-1305 | |
| (913) 250-5155 | |
| (913) 250-5515 |
| Full Name | Brooke Thouvenot |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 842 N Main St, Lansing, 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 |
|---|---|---|---|
| 1053876573 | NPI | - | NPPES |
| 3005123750001 | Medicaid | KS |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Victory Clinic Llc | 8729459607 | 4 |
| Entity Name | Victory Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104540079 PECOS PAC ID: 8729459607 Enrollment ID: O20230201001812 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Thouvenot, 715 Southwind Dr, Junction City, KS 66441-9021 Ph: (785) 209-3779 | Brooke Thouvenot, 842 N Main St, Lansing, KS 66043-1305 Ph: (913) 250-5155 |
Rachel Marie Frye, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 Progress Dr Ste 180, Lansing, KS 66043 Phone: 913-682-9660 | |
Mrs. Deanna Marchelle Mahoney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 1st Ter Ste 218, Lansing, KS 66043 Phone: 816-944-6828 | |
Jacquelyn S Kemmerer, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1004 Progress Dr Ste 150, Lansing, KS 66043 Phone: 913-297-3215 Fax: 913-297-2732 | |
Devin Daenar Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Bittersweet Ln, Lansing, KS 66043 Phone: 785-643-4378 | |
Brenda Lee Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 757 W Eisenhower Rd, Lansing, KS 66043 Phone: 913-787-3063 | |
Janae Carlson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 Progress Dr Ste 130, Lansing, KS 66043 Phone: 913-632-9940 Fax: 913-680-1275 | |
Carol Diane Jackson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 712 First Terrace, #200, Lansing, KS 66043 Phone: 913-727-6000 Fax: 913-351-1346 |