| Miss Kathy Mae Wiley, APRN | |
|
106 Willow Rd, Goodland, KS 67735-1518 | |
| (785) 890-6075 | |
| (785) 890-6077 |
| Full Name | Miss Kathy Mae Wiley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 106 Willow Rd, Goodland, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952685471 | NPI | - | NPPES |
| 100640620B | Medicaid | KS | |
| 1952685471 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 44945 (Kansas) | Primary |
| Entity Name | Afc Physical Medicine Of Mesa, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659645679 PECOS PAC ID: 8123280716 Enrollment ID: O20120426000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kathy Mae Wiley, APRN 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-6075 | Miss Kathy Mae Wiley, APRN 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-6075 |
Mrs. Jackie Lynn Jorgensen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-6075 Fax: 785-890-6077 | |
Mrs. Janna K Eisenbart, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 Main St, Goodland, KS 67735 Phone: 785-890-7950 Fax: 785-890-7951 | |
Mrs. Sondra J Krayca, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 Main St, Goodland, KS 67735 Phone: 785-890-7950 Fax: 785-890-7951 | |
Mr. Perry William Desbien, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 W 2nd St, Goodland, KS 67735 Phone: 785-890-3625 | |
Mrs. Jessica Lynn Gittinger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-6075 Fax: 785-890-6077 | |
Mrs. Autumn Jade Spellmeier, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-6075 Fax: 785-890-6077 |