Debra C Pankau (NPI# 1710955406, PAC ID# 0143271643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1710955406 |
| PAC ID by PECOS | 0143271643 |
| Professional Enrollment ID | I20050202000208 |
| Full Name | Debra C Pankau |
| Organization Legal Name | NORTHWEST HEALTH SERVICES INC |
| Address |
305 Rhode Island St King City MO 64463-9622 |
| Phone Number | 6605354347 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7113835174 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261328 | NORTHWEST MEDICAL CENTER |
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 305 Rhode Island St, King City, MO 64463-9622 | 6605354347 | NORTHWEST HEALTH SERVICES INC |
| 2303 Village Dr, Saint Joseph, MO 64506-4954 | 8163236818 | NORTHWEST HEALTH SERVICES INC |
| 5026 Faraon St, Saint Joseph, MO 64506-3375 | 8162791591 | NORTHWEST HEALTH SERVICES INC |
| Organization Legal Name | NORTHWEST HEALTH SERVICES INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merri C Leach | Registered Dietitian Or Nutrition Professional | Northwest Health Services Inc | 2303 Village Dr, Saint Joseph, MO 64506-4954 |
| April I Wamsley | Nurse Practitioner | Northwest Health Services Inc | 303 S Us Hwy 169, Gower, MO 64454-9116 |
| Bethany A Randles | Nurse Practitioner | Northwest Health Services Inc | 503 S 6th St, Downtown Health Center, Saint Joseph, MO 64501-2224 |
| Rachel E Lessor | Nurse Practitioner | Northwest Health Services Inc | 5026 Faraon St, Saint Joseph, MO 64506-3375 |
| Brittany S Mace | Nurse Practitioner | Northwest Health Services Inc | 5001 Lake Ave, Saint Joseph, MO 64504-1170 |
| Darci L Feiden | Nurse Practitioner | Northwest Health Services Inc | 1303 State St, Mound City, MO 64470-1717 |
| Francisco J Aleman | Family Medicine | Northwest Health Services Inc | 803 W 71 Hwy, Savannah, MO 64485-1151 |
| Kathleen M Davis | Nurse Practitioner | Northwest Health Services Inc | 1515 Saint Joseph Ave, Saint Joseph, MO 64505-2631 |
| Merlin D Brown | Family Medicine | Northwest Health Services Inc | 2303 Village Dr, Saint Joseph, MO 64506-4954 |
| Sarah L Knorr | Nurse Practitioner | Northwest Health Services Inc | 5026 Faraon St, Saint Joseph, MO 64506-3375 |
| Street Address |
305 RHODE ISLAND ST |
| City | KING CITY |
| State | MO |
| Zip | 64463-9622 |
| City | KING CITY |
| Zip Code | 64463 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KING CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Debra C Pankau.
| 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.