Jennifer D Ebersole (NPI# 1245283951, PAC ID# 6406983089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245283951 |
| PAC ID by PECOS | 6406983089 |
| Professional Enrollment ID | I20100430000250 |
| Full Name | Jennifer D Ebersole |
| Organization Legal Name | DERMATOLOGY LASER CENTER, LLC |
| Address |
15 E 11th St Liberal KS 67901-2720 |
| Phone Number | 6206249100 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466589031 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15 E 11th St, Liberal, KS 67901-2720 | 6206249100 | DERMATOLOGY LASER CENTER, LLC |
| Organization Legal Name | DERMATOLOGY LASER CENTER, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marek J Kaminski | Dermatology | Dermatology Laser Center, LLC | 15 E 11th St, Liberal, KS 67901-2720 |
| Street Address |
15 E 11TH ST |
| City | LIBERAL |
| State | KS |
| Zip | 67901-2720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marek J Kaminski | Dermatology | Dermatology Laser Center, LLC | 15 E 11th St, Liberal, KS 67901-2720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suhail A Ansari | Orthopedic Surgery | 2138 N Kansas Ave, Liberal, KS 67901-2012 | |
| Steven Douglas Graham | Optometry | Vision Source of Liberal Inc | 2136 N Kansas Ave, Liberal Kansas, KS 67901-2012 |
| Rhiannon Radcliff | Optometry | Vision Source of Liberal Inc | 2136 N Kansas Ave, Liberal Kansas, KS 67901-2012 |
| Elizabeth Ann Fieser | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| James S Jury | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| Ryan R Farrar | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| Molly Rachow | Physical Therapy | 111 Lilac Dr, Liberal, KS 67901-2058 | |
| Brandi L Boller | Family Medicine | 11 W Pkwy Blvd, Liberal, KS 67901-2081 | |
| Michael J Fulton | Optometry | 250 E Tucker Rd, Suite B, Liberal, KS 67901-2188 | |
| Varinder S Gill | Internal Medicine | 111 E Tucker Rd, Suite F, Liberal, KS 67901-2191 | |
| Find all physicians in zip 67901 | |||
| City | LIBERAL |
| Zip Code | 67901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LIBERAL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer D Ebersole.
| 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.