| Dr Laura C Bevis, ARNP | |
|
750 W D Ave, Kingman, KS 67068-1266 | |
| (620) 532-0295 | |
| (855) 483-0002 |
| Full Name | Dr Laura C Bevis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 750 W D Ave, Kingman, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811009343 | NPI | - | NPPES |
| 200818 | Other | KS | HPK |
| 200001600E | Medicaid | KS | |
| 161608 | Other | KS | BCBS |
| 30003916630006 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 45091 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-45091 (Kansas) | Primary |
| Entity Name | Ninnescah Valley Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508969965 PECOS PAC ID: 5799683694 Enrollment ID: O20040407000038 |
| Entity Name | Internal Medicine South |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194717694 PECOS PAC ID: 5799748000 Enrollment ID: O20041108001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laura C Bevis, ARNP 750 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-3147 | Dr Laura C Bevis, ARNP 750 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-0295 |
Kathleen S Prilliman, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-3147 | |
Kathleen L Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-493-0002 | |
Jessica Blackwill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Jessica Marie Holloway, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 Cedar St, Kingman, KS 67068 Phone: 620-553-5040 | |
Mrs. Logan Leigh Hageman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Ellen Kathleen Mcdonald, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 N Cedar, Kingman, KS 67068 Phone: 620-532-3101 Fax: 620-532-3427 |