Helen Rose Klein (NPI# 1376613208, PAC ID# 2264689256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1376613208 |
PAC ID by PECOS | 2264689256 |
Professional Enrollment ID | I20120827000478 |
Full Name | Helen Rose Klein |
Organization Legal Name | LEGACY HEALTH CLINIC LLC |
Address |
3524 Tongass Ave Ketchikan AK 99901-5635 |
Phone Number | 9072256355 |
Gender | F |
Graduation Year | 1998 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4587973946 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
021311 | PEACEHEALTH KETCHIKAN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3524 Tongass Ave, Ketchikan, AK 99901-5635 | 9072256355 | LEGACY HEALTH CLINIC LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | LEGACY HEALTH CLINIC LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica R Pilcher | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
Sarah Elizabeth Bass | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
Street Address |
3524 TONGASS AVE |
City | KETCHIKAN |
State | AK |
Zip | 99901-5635 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica R Pilcher | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
Sarah Elizabeth Bass | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew F Zink | Obstetrics/gynecology | Peacehealth | 141 Bryant St, Ketchikan, AK 99901-5534 |
Tammy L Earnest | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
Chelsea Ria Youmans | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
Marilyn Kay Holm | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
Ricky D. Swearingen | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
Erik Daniel Christianson | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
Marina Judith-rowe Mcintyre | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
Cynthia L Wornstaff | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
Gary J Schoenrock | Urology | Peacehealth | 212 Carlanna Lake Rd, Ketchikan, AK 99901-5642 |
Maureen M Northway | Nurse Practitioner | 130 Carlanna Lake Rd, Suite 201, Ketchikan, AK 99901-5669 | |
Find all physicians in zip 99901 |
City | KETCHIKAN |
Zip Code | 99901 |
Specialty | NURSE PRACTITIONER |
City + Specialty | KETCHIKAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Helen Rose Klein.
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.