| Mrs Jennifer Ann Woods, PA-C | |
|
10111 E 21st St N Ste 105, Wichita, KS 67206-3555 | |
| (316) 221-9653 | |
| Not Available |
| Full Name | Mrs Jennifer Ann Woods |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 10111 E 21st St N Ste 105, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780113209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 54506 (California) | Secondary |
| 363A00000X | Physician Assistant | 15-02916 (Kansas) | Primary |
| Entity Name | Northeast Valley Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Ann Woods, PA-C 10111 E 21st St N Ste 105, Wichita, KS 67206-3555 Ph: (316) 221-9653 | Mrs Jennifer Ann Woods, PA-C 10111 E 21st St N Ste 105, Wichita, KS 67206-3555 Ph: (316) 221-9653 |
George M Schroeder, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 324 N Emporia Ave Apt 703, Wichita, KS 67202 Phone: 615-440-2526 |
Lauren A Holmes, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 |
Chamil Fernando, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3417 S Meridian Ave, Wichita, KS 67217 Phone: 316-866-2078 |
Eric F Flores, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2239 Fax: 316-962-7334 |
Kristen Wolf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 N Woodlawn St, Wichita, KS 67220 Phone: 316-260-1690 Fax: 316-260-1691 |
Mrs. Sung Un E Hall, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4558 Fax: 316-609-4599 |
Audrey Eileen Griffin, PA (PHYSICIAN ASSIST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2239 |