Jenna L Thomas (NPI# 1740728104, PAC ID# 1850677147) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740728104 |
| PAC ID by PECOS | 1850677147 |
| Professional Enrollment ID | I20170421001566 |
| Full Name | Jenna L Thomas |
| Organization Legal Name | SHERIDAN MEMORIAL HOSPITAL ASSOCIATION |
| Address |
440 W Laural Ave Plentywood MT 59254-1526 |
| Phone Number | 4067651420 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133038706 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271322 | SHERIDAN MEMORIAL HOSPTIAL |
| Address | Phone | Organization |
|---|---|---|
| 440 W Laural Ave, Plentywood, MT 59254-1526 | 4067651420 | SHERIDAN MEMORIAL HOSPITAL ASSOCIATION |
| Organization Legal Name | SHERIDAN MEMORIAL HOSPITAL ASSOCIATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Graham | Physician Assistant | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Carmen L Johnson | Family Practice | Sheridan Memorial Hospital Association | 440 W Laurel Ave, Plentywood, MT 59254-1526 |
| Brenda D Koessl | Nurse Practitioner | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Adam W Graham | Physician Assistant | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Street Address |
440 W LAURAL AVE |
| City | PLENTYWOOD |
| State | MT |
| Zip | 59254-1526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Graham | Physician Assistant | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Brenda D Koessl | Nurse Practitioner | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Adam W Graham | Physician Assistant | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk Stoner | Family Practice | 448 W Laurel Ave, Plentywood, MT 59254-0217 | |
| Carmen L Johnson | Family Practice | Sheridan Memorial Hospital Association | 440 W Laurel Ave, Plentywood, MT 59254-1526 |
| Diane E Savage | Certified Clinical Nurse Specialist (cns) | Eastern Montana Community Mental Health Center | 100 W Laurel, Plentywood, MT 59254-1647 |
| City | PLENTYWOOD |
| Zip Code | 59254 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PLENTYWOOD + NURSE PRACTITIONER |
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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.