| Lori D Bancroft, PMHNP | |
|
111 S 9th St, Humboldt, KS 66748-1809 | |
| (620) 473-6088 | |
| (855) 710-6875 |
| Full Name | Lori D Bancroft |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 111 S 9th St, Humboldt, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245054659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 83730 (Kansas) | Primary |
| Entity Name | Southeast Kansas Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467414771 PECOS PAC ID: 3870562879 Enrollment ID: O20040927001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori D Bancroft, PMHNP Po Box 39, Humboldt, KS 66748-0039 Ph: (620) 473-6088 | Lori D Bancroft, PMHNP 111 S 9th St, Humboldt, KS 66748-1809 Ph: (620) 473-6088 |
Kelli Eccles, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 S 9th St, Humboldt, KS 66748 Phone: 620-473-2275 Fax: 620-473-2821 | |
Heather Lynnette Webber, APRN- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1216 Hawaii Rd, Humboldt, KS 66748 Phone: 888-777-9170 | |
Elizabeth Garton, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 S 9th St, Humboldt, KS 66748 Phone: 620-473-2241 Fax: 620-473-3334 | |
Kathryn Vantuyl Works, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 334 Iowa Rd, Humboldt, KS 66748 Phone: 620-473-1002 Fax: 620-473-3020 | |
Judith Anne Works, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 449 1200 St, Humboldt, KS 66748 Phone: 620-363-0625 Fax: 620-473-3907 |