Donald E Mitzelfelt (NPI# 1790878809, PAC ID# 1153342829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1790878809 |
| PAC ID by PECOS | 1153342829 |
| Professional Enrollment ID | I20051208000854 |
| Full Name | Donald E Mitzelfelt |
| Organization Legal Name | BELCREST SERVICES LTD |
| Address |
621 W Jackson St Morton IL 61550-1598 |
| Phone Number | 3092634343 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1964 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9335037217 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| Address | Phone | Organization |
|---|---|---|
| 2535 E Washington St, East Peoria, IL 61611-1863 | 3096946464 | BELCREST SERVICES LTD |
| 2535 E Washington St, Proctor First Care East Peoria, East Peoria, IL 61611-1863 | 3096946464 | BELCREST SERVICES LTD |
| 621 W Jackson St, Morton, IL 61550-1598 | 3092634343 | BELCREST SERVICES LTD |
| 3915 Barring Trce, Peoria, IL 61615-2500 | 3096893030 | BELCREST SERVICES LTD |
| Organization Legal Name | BELCREST SERVICES LTD |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda N Funk Garrett | Nurse Practitioner | Belcrest Services Ltd | 621 W Jackson St, Morton, IL 61550-1598 |
| Prem L Bhatia | Family Practice | Belcrest Services Ltd | 2535 E Washington St, Proctor First Care East Peoria, East Peoria, IL 61611-1863 |
| Ziad A Musaitif | Family Practice | Belcrest Services Ltd | 2535 E Washington St, East Peoria, IL 61611-1863 |
| Cheryl L Wegman | Family Practice | Belcrest Services Ltd | 2535 E Washington St, Proctor First Care East Peoria, East Peoria, IL 61611-1863 |
| G Gene Sidler | Internal Medicine | Belcrest Services Ltd | 621 W Jackson St, Morton, IL 61550-1598 |
| Street Address |
621 W JACKSON ST |
| City | MORTON |
| State | IL |
| Zip | 61550-1598 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda N Funk Garrett | Nurse Practitioner | Belcrest Services Ltd | 621 W Jackson St, Morton, IL 61550-1598 |
| G Gene Sidler | Internal Medicine | Belcrest Services Ltd | 621 W Jackson St, Morton, IL 61550-1598 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Walsh | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Patricia J Geisz | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Anthony Schupp | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Jennah Siwak | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Ashley N Brandt | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Nicole Kaltwasser | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Stephanie J Shepherdson | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Emily K Getz | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Taariq Goder | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Mary E Gerig | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Find all physicians in zip 61550 | |||
| City | MORTON |
| Zip Code | 61550 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MORTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Donald E Mitzelfelt.
| 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.