Prairie Band Potawatomi Health Center - Medicare Primary Care in Mayetta, KS

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Prairie Band Potawatomi Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Mayetta, Kansas. The current practice location for Prairie Band Potawatomi Health Center is 11400 158th Rd, Mayetta, Kansas. For appointments, you can reach them via phone at (785) 966-8200. The mailing address for Prairie Band Potawatomi Health Center is 11400 158th Rd, Mayetta, Kansas and phone number is (785) 966-8200.

Prairie Band Potawatomi Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245266410. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (785) 966-8200.

Contact Information

Prairie Band Potawatomi Health Center
11400 158th Rd
Mayetta
KS 66509-0249
(785) 966-8200
(785) 966-8393

Map and Direction


Primary Care Clinic Profile

Full NamePrairie Band Potawatomi Health Center
SpecialityClinic/Center
Location11400 158th Rd, Mayetta, Kansas
Authorized Official Name and PositionTiffany Lewis (BUSINESS OFFICE MANAGER)
Authorized Official Contact7859668282
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prairie Band Potawatomi Health Center
11400 158th Rd
Mayetta
KS 66509-0249

Ph: (785) 966-8200		Prairie Band Potawatomi Health Center
11400 158th Rd
Mayetta
KS 66509-0249

Ph: (785) 966-8200

NPI Details:

NPI Number1245266410
Provider Enumeration Date06/22/2006
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7719921907
Medicare Enrollment IDO20050617000992

Medical Identifiers

Medical identifiers for Prairie Band Potawatomi Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245266410NPI-NPPES
200259300AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
261QH0100XClinic/center - Health Service (Kansas)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prairie Band Potawatomi Health Center acts as a billing entity for following providers:
Provider NameNola M Ahlquist Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427132612
PECOS PAC ID: 7911972138
Enrollment ID: I20040831001383
Provider NameEmily A Caudle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396091153
PECOS PAC ID: 6800031014
Enrollment ID: I20130318000058
Provider NameAbra J Friess
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083095996
PECOS PAC ID: 5092020701
Enrollment ID: I20150810002109
Provider NameRochelle Virginia Vale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750552154
PECOS PAC ID: 1052570892
Enrollment ID: I20180108000754

Reviews and Comments


Clinic/Center in Mayetta, KS


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.