MEDICARE: PATRICIA R PECK RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WI0500X	Infusion Therapy Registered Nurse	13-87587-052	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A-070-004	OTHER	KS	HOME HEALTH AGENCY LICENSE

General Provider Information

NPI Number	:	1205426954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA R PECK RN

Provider Business Mailing Address
First Line	:	30937 S INDIAN HILLS RD
Second Line	:
City	:	OSAGE CITY
State	:	KS
Zip	:	66523-9089
Country	:	US
Telephone Number	:	816-820-7483
Fax Number	:	816-956-0026

Provider Business Practice Location Address
First Line	:	30937 S INDIAN HILLS RD
Second Line	:
City	:	OSAGE CITY
State	:	KS
Zip	:	66523-9089
Country	:	US
Telephone Number	:	816-820-7483
Fax Number	:	816-956-0026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	01/26/2021

Similar Medicare Providers

1033163837 — DR. DANIEL ERIN SMITH O.D.
Practice Location Address:

30952 S INDIAN HILLS RD
OSAGE CITY, KS
66523-9089

Practice Phone: 785-979-1570
Practice Fax:

1184231243 — KANMO INFUSION AND PATIENT TEACHING, LLC
Practice Location Address:

30937 S INDIAN HILLS RD
OSAGE CITY, KS
66523-9089

Practice Phone: 913-709-7731
Practice Fax:

1528357480 — CHRISTOPHER SCOTT JENKS MD
Practice Location Address:

131 W MARKET ST , STE B
OSAGE CITY, KS
66523-1000

Practice Phone: 785-528-3161
Practice Fax:

1003811761 — DR. DAVID A JACOBY DOCTOR OF OPTOMETRY
Practice Location Address:

131 W MARKET ST STE A
OSAGE CITY, KS
66523-1099

Practice Phone: 785-528-4136
Practice Fax: 785-528-3422

1881692572 — OSAGE NURSING, LLC
Practice Location Address:

1017 MAIN ST
OSAGE CITY, KS
66523-1249

Practice Phone: 785-528-3138
Practice Fax: 785-528-4895

1992749378 — DR. MATTHEW R HARMON D.D.S.
Practice Location Address:

840 LAKIN STREET
OSAGE CITY, KS
66523-1152

Practice Phone: 785-528-3773
Practice Fax:

Directions to “ PATRICIA R PECK RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.