| Jose Luis Renteria, ACNP | |
|
1905 19th St, Great Bend, KS 67530-2502 | |
| (620) 792-5700 | |
| Not Available |
| Full Name | Jose Luis Renteria |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1905 19th St, Great Bend, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053704361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 53-76710-092 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| L & C Home Health Agency Inc | Colby, KS | Home health agency |
| Rawlins County Health Center | Atwood, KS | Hospital |
| Phillips County Hospital | Phillipsburg, KS | Hospital |
| Ellinwood District Hospital | Ellinwood, KS | Hospital |
| Hodgeman County Health Center | Jetmore, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rawlins County Health Center | 4688585151 | 8 |
| Great Plains Of Ellinwood Inc | 5092627539 | 11 |
| Hodgeman County Health Center | 5799696894 | 10 |
| Phillips County Hospital | 7012231251 | 11 |
| Entity Name | Harlan County Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124035225 PECOS PAC ID: 8325088214 Enrollment ID: O20050510000912 |
| Entity Name | Harlan County Health System |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124035225 PECOS PAC ID: 8325088214 Enrollment ID: O20061104000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Luis Renteria, ACNP 1718 Odell St, Great Bend, KS 67530-2419 Ph: (620) 786-8783 | Jose Luis Renteria, ACNP 1905 19th St, Great Bend, KS 67530-2502 Ph: (620) 792-5700 |
Mrs. Jacquelyn Rene Forssberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Eisenhower Ave, Great Bend, KS 67530 Phone: 620-792-5437 | |
Aimee Marie Wyant, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2511 Fax: 620-786-6262 | |
Amanda Gail Lakin, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2008 11th St, Great Bend, KS 67530 Phone: 620-796-2788 Fax: 620-796-2789 | |
Peter Mick, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 Cleveland St, Great Bend, KS 67530 Phone: 620-792-8833 | |
Megan Frances Homolka, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3720 10th St, Great Bend, KS 67530 Phone: 620-796-2135 | |
Madison L Hanzlick, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1905 19th St, Great Bend, KS 67530 Phone: 620-792-5700 Fax: 855-463-0851 |