| Jennifer Dawn Ebersole, ARNP | |
|
305 W 15th St Ste 103, Liberal, KS 67901-2455 | |
| (620) 236-3125 | |
| Not Available |
| Full Name | Jennifer Dawn Ebersole |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 305 W 15th St Ste 103, Liberal, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245283951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53-45719-111 (Kansas) | Primary |
| Entity Name | Skin Win Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992343198 PECOS PAC ID: 6901221597 Enrollment ID: O20220912003247 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Dawn Ebersole, ARNP 202 W La Mesa Dr, Dodge City, KS 67801-2838 Ph: (620) 225-6821 | Jennifer Dawn Ebersole, ARNP 305 W 15th St Ste 103, Liberal, KS 67901-2455 Ph: (620) 236-3125 |
Reyna Silvia Aguilar-martinez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 E 11th St, Liberal, KS 67901 Phone: 620-624-2565 Fax: 620-624-3016 | |
Victoria Rachel Underwood, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W 15th St Ste 104, Liberal, KS 67901 Phone: 620-624-9637 Fax: 620-624-2218 | |
Luis Felipe Camacho, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 W 15th St Ste 102, Liberal, KS 67901 Phone: 620-417-7578 Fax: 680-417-7577 | |
Dr. Tak Yee Leung, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 E 11th St, Liberal, KS 67901 Phone: 620-624-2565 Fax: 620-624-3016 | |
Reyna Silvia Diaz-aguilar, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1329 Jewell Ave, Liberal, KS 67901 Phone: 620-309-0052 | |
Mrs. Linsey Kay Carter, ARNP/FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 W 15th St, Suite A, Liberal, KS 67901 Phone: 620-624-0702 Fax: 620-624-5078 | |
Elizabeth Mercado, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N Kansas Ave, Liberal, KS 67901 Phone: 620-417-0028 |