| Michelle L Brokes, PA-C | |
|
1602 N Aylward Ave, Ellsworth, KS 67439-2541 | |
| (785) 472-3111 | |
| (785) 472-5731 |
| Full Name | Michelle L Brokes |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 1602 N Aylward Ave, Ellsworth, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972798353 | NPI | - | NPPES |
| T01546 | Other | KS | STATE LICENSE |
| 200548240C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | T01546 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of Dodge City | Wa keeney, KS | Home health agency |
| Ellsworth County Medical Center | Ellsworth, KS | Hospital |
| Russell Regional Hospital | Russell, KS | Hospital |
| Lincoln County Hospital | Lincoln, KS | Hospital |
| Salina Regional Health Center | Salina, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ellsworth County Medical Center | 5395643357 | 13 |
| Entity Name | Ellsworth County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972504546 PECOS PAC ID: 5395643357 Enrollment ID: O20040716000216 |
| Entity Name | Ellsworth County Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083614028 PECOS PAC ID: 5395643357 Enrollment ID: O20070227000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L Brokes, PA-C 1602 N Aylward Ave, Po Box 103, Ellsworth, KS 67439-2541 Ph: (785) 472-3111 | Michelle L Brokes, PA-C 1602 N Aylward Ave, Ellsworth, KS 67439-2541 Ph: (785) 472-3111 |
Shawn Aaron Mcgowan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1602 N Aylward Ave, Ellsworth, KS 67439 Phone: 785-472-3111 Fax: 785-472-5396 |
Christena Hanson, RPAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1602 N Aylward Ave, Ellsworth, KS 67439 Phone: 785-472-3111 Fax: 785-472-5731 |
Lora Rose Bebermeyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1604 Aylward Ave, Ellsworth, KS 67439 Phone: 785-810-1177 Fax: 785-472-5760 |
Kamryn Maureen Yien Villa, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1602 Aylward Ave, Ellsworth, KS 67439 Phone: 785-810-1177 Fax: 785-472-4982 |