| Belleville Medical Clinic, P.a. | |
| 
					2337 G St Belleville KS 66935-2463  | |
| (785) 527-2217 | |
| (785) 527-5929 | 
| Full Name | Belleville Medical Clinic, P.a. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 2337 G St, Belleville, Kansas | 
| Authorized Official Name and Position | Andy E. Walker (PRESIDENT) | 
| Authorized Official Contact | 7855272217 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Belleville Medical Clinic, P.a. 2337 G St Belleville KS 66935-2463 Ph: (785) 527-2217  | Belleville Medical Clinic, P.a. 2337 G St Belleville KS 66935-2463 Ph: (785) 527-2217  | 
| NPI Number | 1376648907 | 
|---|---|
| Provider Enumeration Date | 09/14/2006 | 
| Last Update Date | 10/02/2007 | 
| Medicare PECOS PAC ID | 0446202345 | 
|---|---|
| Medicare Enrollment ID | O20050218000822 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376648907 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Lori Rhine | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1588823322 PECOS PAC ID: 1658445945 Enrollment ID: I20080805000273  | 
| Provider Name | Briana L Jensen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1700235850 PECOS PAC ID: 8426342437 Enrollment ID: I20160812001284  | 
| Provider Name | Kurtis W Klecan | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1154854008 PECOS PAC ID: 0244508273 Enrollment ID: I20200817001872  | 
| Provider Name | Lauren L Eitzmann | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1053993832 PECOS PAC ID: 6406255249 Enrollment ID: I20210526003362  | 
| Provider Name | Joshua Chapman | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1689178956 PECOS PAC ID: 6305221896 Enrollment ID: I20220920001434  | 
Great Plains Of Republic Co., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2337 G St Ste 100, Belleville, KS 66935 Phone: 785-527-2217 Fax: 785-527-2800  | |
Republic County Family Physicians, Chtd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2337 G St, Suite 2, Belleville, KS 66935 Phone: 785-527-2237 Fax: 785-527-2820  | |
Republic County Family Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2337 G St Ste 2, Belleville, KS 66935 Phone: 785-527-2237  |