Stephanie Rae Taets (NPI# 1780090597, PAC ID# 2567688336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1780090597 |
PAC ID by PECOS | 2567688336 |
Professional Enrollment ID | I20140731000802 |
Full Name | Stephanie Rae Taets |
Organization Legal Name | MITCHELL COUNTY MEMORIAL HOSPITAL |
Address |
109 Westward Dr Suite 6 Riceville IA 50466-7550 |
Phone Number | 6419852122 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5890603070 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
161323 | MITCHELL COUNTY REGIONAL HEALTH |
Address | Phone | Organization |
---|---|---|
109 Westward Dr, Suite 6, Riceville, IA 50466-7550 | 6419852122 | MITCHELL COUNTY MEMORIAL HOSPITAL |
Organization Legal Name | MITCHELL COUNTY MEMORIAL HOSPITAL |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julie A Potter | Nurse Practitioner | Mitchell County Memorial Hospital | 109 Westward Dr, Suite 6, Riceville, IA 50466-7550 |
Jeffrey D Nasstrom | Family Medicine | Mitchell County Memorial Hospital | 616 N 8th St, Osage, IA 50461-1456 |
Coral A Gerdts | Podiatry | Mitchell County Memorial Hospital | 620 N 8th St, Osage, IA 50461-1456 |
Benson F Hargens | Family Medicine | Mitchell County Memorial Hospital | 620 N 8th St, Osage, IA 50461-1456 |
Kelly Dee Ross | Family Medicine | Mitchell County Memorial Hospital | 616 N 8th St, Osage, IA 50461-1456 |
Mark J Haganman | Family Medicine | Mitchell County Memorial Hospital | 616 N 8th St, Osage, IA 50461-1456 |
Erik T Branstetter | General Surgery | Mitchell County Memorial Hospital | 616 N 8th St, Osage, IA 50461-1456 |
Colleen B Byrnes | Nurse Practitioner | Mitchell County Memorial Hospital | 109 Westward Dr, Suite 6, Riceville, IA 50466-7550 |
Robert J Roggensack | Optometry | Mitchell County Memorial Hospital | 620 N 8th St, Osage, IA 50461-1456 |
Street Address |
109 WESTWARD DR SUITE 6 |
City | RICEVILLE |
State | IA |
Zip | 50466-7550 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julie A Potter | Nurse Practitioner | Mitchell County Memorial Hospital | 109 Westward Dr, Suite 6, Riceville, IA 50466-7550 |
Colleen B Byrnes | Nurse Practitioner | Mitchell County Memorial Hospital | 109 Westward Dr, Suite 6, Riceville, IA 50466-7550 |
City | RICEVILLE |
Zip Code | 50466 |
Specialty | NURSE PRACTITIONER |
City + Specialty | RICEVILLE + 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.