| Channel Trenise Clark, PMHNP-BC | |
|
237 Nw Kessler Dr Apt 307, Lees Summit, MO 64081-4173 | |
| (816) 289-1223 | |
| Not Available |
| Full Name | Channel Trenise Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 237 Nw Kessler Dr Apt 307, Lees Summit, Missouri |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477374874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2004022119 (Missouri) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2024039915 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Truman Medical Center Lakewood | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Truman Medical Center Incorporated | 7315841418 | 242 |
| Kansas Post Acute Medical Services 1 Pa | 1557634193 | 56 |
| Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20160830002898 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210812000487 |
| Entity Name | Cs Pacs 3 Midwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972368785 PECOS PAC ID: 4183164734 Enrollment ID: O20241003002367 |
| Mailing Address | Practice Location Address |
|---|---|
| Channel Trenise Clark, PMHNP-BC 237 Nw Kessler Dr Apt 307, Lees Summit, MO 64081-4173 Ph: (816) 289-1223 | Channel Trenise Clark, PMHNP-BC 237 Nw Kessler Dr Apt 307, Lees Summit, MO 64081-4173 Ph: (816) 289-1223 |
Sherry L Broadhurst, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-246-4302 | |
Rachael Goodman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Executive Way Ste E, Lees Summit, MO 64063 Phone: 816-434-5205 Fax: 816-434-5207 | |
Ms. Brenda Sue Salazar, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3066 Sw Grandstand Cir, Lees Summit, MO 64081 Phone: 913-215-5008 Fax: 816-447-3960 | |
Maddison Pearl Selley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Ne Saint Lukes Blvd Ste 275, Lees Summit, MO 64086 Phone: 816-554-3838 Fax: 816-554-1634 | |
Whitney Marie Belshe, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Ne Mulberry St Ste 202, Lees Summit, MO 64086 Phone: 816-251-5710 Fax: 816-251-5711 | |
Mr. Thomas Christian Sims, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 | |
Mrs. Makenzie Kayla Stroup, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3521 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-533-4398 |