| Marley Palmer, | |
|
1021 Eisenhower Ave, Great Bend, KS 67530-3213 | |
| (620) 792-5437 | |
| Not Available |
| Full Name | Marley Palmer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1021 Eisenhower Ave, Great Bend, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518695261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 53-82224-021 (Kansas) | Primary |
| 163W00000X | Registered Nurse | 89757 (Nebraska) | Secondary |
| Entity Name | Pawnee Valley Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467569442 PECOS PAC ID: 7315856473 Enrollment ID: O20040614001374 |
| Entity Name | Pawnee Valley Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912310822 PECOS PAC ID: 7315856473 Enrollment ID: O20140624000216 |
| Entity Name | Ukhs Great Bend Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962997197 PECOS PAC ID: 5597016378 Enrollment ID: O20180918000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Marley Palmer, 911 W 13th St, Larned, KS 67550-1907 Ph: (620) 804-3377 | Marley Palmer, 1021 Eisenhower Ave, Great Bend, KS 67530-3213 Ph: (620) 792-5437 |
Mrs. Jacquelyn Rene Forssberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Eisenhower Ave, Great Bend, KS 67530 Phone: 620-792-5437 | |
Jose Luis Renteria, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1905 19th St, Great Bend, KS 67530 Phone: 620-792-5700 | |
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: Not Enrolled in Medicare Practice Location: 1905 19th St, Great Bend, KS 67530 Phone: 620-792-5700 Fax: 855-463-0851 |