| Mrs Sarah Wallace, | |
|
390 Limit St, Leavenworth, KS 66048-4525 | |
| (913) 651-2323 | |
| Not Available |
| Full Name | Mrs Sarah Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 390 Limit St, Leavenworth, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568850006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 76650 (Kansas) | Primary |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20050302000266 |
| Entity Name | Compassionate Family Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518250794 PECOS PAC ID: 6507022183 Enrollment ID: O20120726000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sarah Wallace, 18714 W 163rd Ter, Olathe, KS 66062-2786 Ph: (785) 249-4676 | Mrs Sarah Wallace, 390 Limit St, Leavenworth, KS 66048-4525 Ph: (913) 651-2323 |
William Maxime Buron Iii, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 S 4th St, Leavenworth, KS 66048 Phone: 913-680-6220 Fax: 816-943-2767 | |
Briana Elise Pina, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 Limit St, Leavenworth, KS 66048 Phone: 866-389-2727 | |
Mr. Leo-anthony Nnamdi Ojini, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 | |
Elizabeth Michelle Burden, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 818 N 7th St, Leavenworth, KS 66048 Phone: 913-651-8860 | |
Ms. Sharon L Saim, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th Trafficway, Leavenworth, KS 66048 Phone: 913-682-2000 | |
Dr. Ndidi Obiefuna, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-223-7909 | |
Brooke Nicole Crane, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3550 S 4th St Ste 110, Leavenworth, KS 66048 Phone: 913-680-6200 |