Susan Gayle Polk, RN - Registered Nurse in Fort Leavenworth, KS

Susan Gayle Polk, RN is a Registered Nurse based in Fort Leavenworth, Kansas. Susan Gayle Polk is licensed to practice in Kansas (license number 14-97418-081) and her current practice location is 550 Pope Ave, Munson Army Health Center Attn Mcxn-cod, Ms Cotton, Fort Leavenworth, Kansas. She can be reached at her office (for appointments etc.) via phone at (913) 684-6562.

NPI number for Susan Gayle Polk is 1679647812 and her current mailing address is 412 Brookwood St, Lansing, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679647812.

Contact Information

Susan Gayle Polk, RN
550 Pope Ave, Munson Army Health Center Attn Mcxn-cod, Ms Cotton,
Fort Leavenworth, KS 66027-2332
(913) 684-6562
(913) 684-6208



Provider's Profile

Full NameSusan Gayle Polk
GenderFemale
SpecialityRegistered Nurse
Location550 Pope Ave, Fort Leavenworth, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679647812
  • Provider Enumeration Date: 11/20/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Susan Gayle Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679647812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 14-97418-081 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Gayle Polk is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan Gayle Polk, RN
412 Brookwood St,
Lansing, KS 66043-1488

Ph: (913) 727-5283
Susan Gayle Polk, RN
550 Pope Ave, Munson Army Health Center Attn Mcxn-cod, Ms Cotton,
Fort Leavenworth, KS 66027-2332

Ph: (913) 684-6562

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› Verified 7 days ago


Registered Nurse Nurses in Fort Leavenworth, KS

Ms. Elba M Villacorta, RN, CNOR
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027
Phone: 913-684-6562    
Ms. Angela Frances Clauser, RN BSN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Munson Health Center, Fort Leavenworth, KS 66027
Phone: 913-684-6671    Fax: 913-684-6128
Diane Marie Booth,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6000    
Ms. Carolyn Plumb Miller, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6562    Fax: 913-684-6208
Mrs. Dianna Gail Wolfe, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6143    Fax: 913-684-6208
Mrs. Barbara Janeen Stearns,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Mr. Kennedy), Fort Leavenworth, KS 66027
Phone: 913-684-6143    Fax: 913-684-6208
Ms. Tammy Laverne Warren, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027
Phone: 913-684-6682    Fax: 913-684-6128

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