Katherine Elizabeth Ernest (NPI# 1275017899, PAC ID# 0345581468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1275017899 |
| PAC ID by PECOS | 0345581468 |
| Professional Enrollment ID | I20190417002174 |
| Full Name | Katherine Elizabeth Ernest |
| Organization Legal Name | FALLON MEDICAL COMPLEX INC |
| Address |
202 S 4th St W Baker MT 59313-9156 |
| Phone Number | 4067782833115 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0941119499 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271301 | FALLON MEDICAL COMPLEX HOSPITAL |
| 270004 | BILLINGS CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 202 S 4th St W, Baker, MT 59313-9156 | 4067782833115 | FALLON MEDICAL COMPLEX INC |
| 710 Drake St, Wibaux, MT 59353-9086 | 4067962223 | FALLON MEDICAL COMPLEX INC |
| Organization Legal Name | FALLON MEDICAL COMPLEX INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Lee Hough | Nurse Practitioner | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9156 |
| Darryl M Espeland | General Practice | Fallon Medical Complex Inc | 710 Drake St, Wibaux, MT 59353-9086 |
| Carrie J Haar | Nurse Practitioner | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9156 |
| Brian M Sullivan | Family Medicine | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9156 |
| Travis G Allen | Physician Assistant | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9118 |
| George J Ceremuga | Family Practice | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9118 |
| Leanne R Breihahn | Physician Assistant | Fallon Medical Complex Inc | 710 Drake St, Wibaux, MT 59353-9086 |
| Dominick P Trivisonno | General Practice | Fallon Medical Complex Inc | 710 Drake St, Wibaux, MT 59353-9086 |
| Edna M Streit | Physician Assistant | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9118 |
| Street Address |
202 S 4TH ST W |
| City | BAKER |
| State | MT |
| Zip | 59313-9156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Lee Hough | Nurse Practitioner | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9156 |
| Carrie J Haar | Nurse Practitioner | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9156 |
| Brian M Sullivan | Family Medicine | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9156 |
| Travis G Allen | Physician Assistant | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9118 |
| George J Ceremuga | Family Practice | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9118 |
| Edna M Streit | Physician Assistant | Fallon Medical Complex Inc | 202 S 4th St W, Baker, MT 59313-9118 |
| City | BAKER |
| Zip Code | 59313 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BAKER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Katherine Elizabeth Ernest.
| 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.