Walter A Dean (NPI# 1154499010, PAC ID# 3375598279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1154499010 |
| PAC ID by PECOS | 3375598279 |
| Professional Enrollment ID | I20080507000670 |
| Full Name | Walter A Dean |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Address |
3511 Clinton Pl C Lawrence KS 66047-2213 |
| Phone Number | 7853314488 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981592334 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170137 | LAWRENCE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3511 Clinton Pl C, Lawrence, KS 66047-2213 | 7853314488 | KANSAS MEDICAL CLINIC PA |
| 6333 Long Ave, Suite 360, Shawnee, KS 66216-2544 | 9136316330 | KANSAS MEDICAL CLINIC PA |
| 2200 Sw 6th St, Topeka, KS 66606-1707 | 7853548518 | KANSAS MEDICAL CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayda Michelle Rupp | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Carla K Skytta | Plastic and Reconstructive Surgery | Kansas Medical Clinic Pa | 6001 Sw6th Ave, Topeka, KS 66615-1011 |
| Majdy A Albahhar | Dermatology | Kansas Medical Clinic Pa | 4201 Anderson Ave, B2, Manhattan, KS 66503-7603 |
| Alexandra Nicole Heeren | Nurse Practitioner | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| Cecil J Fackrell | Physician Assistant | Kansas Medical Clinic Pa | 6333 Long Ave, Suite 360, Shawnee, KS 66216-2544 |
| Lee R Bittenbender | Dermatology | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| James V Allen | Dermatology | Kansas Medical Clinic Pa | 11301 Nall Ave, Suite 205, Leawood, KS 66211-1672 |
| Shekhar K Challa | Gastroenterology | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Shannon E Mawyin | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Laura L Welborn | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Street Address |
3511 CLINTON PL C |
| City | LAWRENCE |
| State | KS |
| Zip | 66047-2213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee R Bittenbender | Dermatology | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| Kelcie L Strecker | Physician Assistant | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| Tiffany Nicole Engelken | Nurse Practitioner | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher L Wertin | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Jessica Ellen Speidel | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Kyle J Wertin | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Eric Ryan Wertin | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Mary A Huss | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Colleen G Auchenbach | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Sherry E Clayton | Clinical Social Worker | Life Connections, Inc. | 1501 Inverness Dr, Lawrence, KS 66047-1870 |
| Taylor L Porter | Psychiatry | 1811 Wakarusa Dr, Suite 102, Lawrence, KS 66047-2082 | |
| Nathan M Bloom | Family Medicine | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Chad D Johanning | Family Medicine | Lawrence Family Practice Center Pa | 4951 W 18th St, Lawrence, KS 66047-2090 |
| Find all physicians in zip 66047 | |||
| City | LAWRENCE |
| Zip Code | 66047 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAWRENCE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.