| Sospeter Otieno, APRN | |
|
2537 Eisenhower Rd, Ottawa, KS 66067-9482 | |
| (785) 242-3780 | |
| (785) 242-6397 |
| Full Name | Sospeter Otieno |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 2537 Eisenhower Rd, Ottawa, Kansas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609418763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 78949 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kansas Post Acute Medical Services 1 Pa | 1557634193 | 48 |
| Cs Pacs 3 Midwest Llc | 4183164734 | 37 |
| Entity Name | Inpatient Consultants Of Kansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548563737 PECOS PAC ID: 9335329556 Enrollment ID: O20110215000374 |
| Entity Name | Kansas Post Acute Medical Services 1 Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124557020 PECOS PAC ID: 1557634193 Enrollment ID: O20170905000134 |
| Entity Name | Forefront-rosenzweig Medical Services Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588101745 PECOS PAC ID: 1052697455 Enrollment ID: O20170912003044 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210810000716 |
| Entity Name | The Mind Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104519024 PECOS PAC ID: 2062873425 Enrollment ID: O20230801003036 |
| Entity Name | Cs Pacs 3 Midwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972368785 PECOS PAC ID: 4183164734 Enrollment ID: O20241002002538 |
| Mailing Address | Practice Location Address |
|---|---|
| Sospeter Otieno, APRN Po Box 677, Ottawa, KS 66067-0677 Ph: (785) 242-3780 | Sospeter Otieno, APRN 2537 Eisenhower Rd, Ottawa, KS 66067-9482 Ph: (785) 242-3780 |
Tamara K Canterbury, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 | |
Ms. Gretchen L Trendel, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 | |
Diane Zadra Drake, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 |