Daniel L Hensley (NPI# 1194878199, PAC ID# 0547153751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1194878199 |
| PAC ID by PECOS | 0547153751 |
| Professional Enrollment ID | I20040203000403 |
| Full Name | Daniel L Hensley |
| Organization Legal Name | MOOSE LAKE COMMUNITY HOSPITAL DISTRICT |
| Address |
4572 County Rd Suite 61 Moose Lake MN 55767-9401 |
| Phone Number | 2184854481 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1980 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5991616997 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240214 | MAPLE GROVE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9855 Hospital Dr, Maple Grove, MN 55369-4648 | 7638981000 | ANESTHESIOLOGY, P.A. |
| 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 7638981000 | ANESTHESIOLOGY, P.A. |
| 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 | 2184854481 | MOOSE LAKE COMMUNITY HOSPITAL DISTRICT |
| 3300 N Oakdale Ave N, Robbinsdale, MN 55422-2926 | 7635205370 | ANESTHESIOLOGY, P.A. |
| Organization Legal Name | MOOSE LAKE COMMUNITY HOSPITAL DISTRICT |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Mach Jr. | Certified Registered Nurse Anesthetist (crna) | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Mark C Gregerson | Orthopedic Surgery | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Bryan P Hunter | Certified Registered Nurse Anesthetist (crna) | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Matthew C Stokes | Certified Registered Nurse Anesthetist (crna) | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Tyler Forrest Pangerl | Certified Registered Nurse Anesthetist (crna) | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Street Address |
4572 COUNTY RD SUITE 61 |
| City | MOOSE LAKE |
| State | MN |
| Zip | 55767-9401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Mach Jr. | Certified Registered Nurse Anesthetist (crna) | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Phyllis J Noss | Diagnostic Radiology | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 | |
| Mark C Gregerson | Orthopedic Surgery | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Bryan P Hunter | Certified Registered Nurse Anesthetist (crna) | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Matthew C Stokes | Certified Registered Nurse Anesthetist (crna) | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Tyler Forrest Pangerl | Certified Registered Nurse Anesthetist (crna) | Moose Lake Community Hospital District | 4572 County Rd, Suite 61, Moose Lake, MN 55767-9401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson L Loupe | Physical Therapy | Therapy Partners Inc | 4570 County Hwy 61, Moose Lake, MN 55767 |
| Ruth E Westra | Family Practice | Gateway Family Health Clinic, Ltd. | 4570 Cty Hwy 61, Moose Lake, MN 55767 |
| Christopher N Thiessen | Family Medicine | Gateway Family Health Clinic, Ltd. | 4570 County Hwy 61, Moose Lake, MN 55767 |
| Sharon Elaine Gossett | General Surgery | Gateway Family Health Clinic, Ltd. | 4570 County Hwy 61, Moose Lake, MN 55767 |
| Paul Robert Dewey | Internal Medicine | Gateway Family Health Clinic, Ltd. | 4570 County Hwy 61, Moose Lake, MN 55767 |
| Mark J Lieffring | Chiropractic | 111 Arrowhead Ln, Moose Lake, MN 55767-7705 | |
| Ashley Lynae Hamblin | Optometry | Moose Lake Eye Care LLC | 312 Elm Ave, Po Box 298, Moose Lake, MN 55767-7706 |
| Dana M Osborne | Clinical Social Worker | Melissa Anderson Psychological Services, Pllc | 316 Elm Ave, Moose Lake, MN 55767-7706 |
| Diane L Stellrecht | Psychologist, Clinical | 308 Elm Ave, Suite 1, Moose Lake, MN 55767-7706 | |
| Melissa Jean Anderson | Psychologist, Clinical | Melissa Anderson Psychological Services, Pllc | 316 Elm Ave, Moose Lake, MN 55767-7706 |
| Find all physicians in zip 55767 | |||
| City | MOOSE LAKE |
| Zip Code | 55767 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MOOSE LAKE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.