Brett Erik Mollenhauer (NPI# 1649747791, PAC ID# 2860732591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1649747791 |
PAC ID by PECOS | 2860732591 |
Professional Enrollment ID | I20190315002345 |
Full Name | Brett Erik Mollenhauer |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
Address |
805 Main St Salmon ID 83467-4316 |
Phone Number | 2087566212 |
Gender | M |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6608786306 |
Number of Group Practice Members | 203 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
271340 | MARCUS DALY MEMORIAL HOSPITAL - CAH |
131305 | STEELE MEMORIAL MEDICAL CENTER |
270014 | ST. PATRICK HOSPITAL |
Address | Phone | Organization |
---|---|---|
1200 Westwood Dr, Marcus Daly Memorial Hospital Home, Hamilton, MT 59840-2345 | 4063632211 | PROVIDENCE HEALTH AND SERVICES MT |
203 S Daisy St, Salmon, ID 83467-4709 | 2087565600 | PROVIDENCE HEALTH AND SERVICES MT |
805 Main St, Salmon, ID 83467-4316 | 2087566212 | PROVIDENCE HEALTH AND SERVICES MT |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
Physicians | 215 |
Name | Specialty | Organization | Address |
---|---|---|---|
Noor Alain Bass | Family Medicine | Providence Health and Services Mt | 1211 S Reserve St, Suite 101, Missoula, MT 59801-3103 |
Ursula Encell Holloway | Clinical Social Worker | Providence Health and Services Mt | 3075 N Reserve St Q, Grant Creek Primary Care, Missoula, MT 59808-1390 |
Akaash Forrest Acharya | Internal Medicine | Providence Health and Services Mt | 902 N Orange St 4th Fl, Inpatient Rehab, Missoula, MT 59802-2998 |
Carin Dougherty | Physician Assistant | Providence Health and Services Mt | 401 W Pennsylvania St, Comm Hosp of Anaconda, Anaconda, MT 59711-1931 |
Nicole Diane Pfeifer | Nurse Practitioner | Providence Health and Services Mt | 4720 23rd Ave, Missoula, MT 59803-1137 |
Emily A Cote | Nurse Practitioner | Providence Health and Services Mt | 5549 Old Us Hwy 93, Florence, MT 59833-6545 |
Tina M Barker | Nurse Practitioner | Providence Health and Services Mt | 500 W Broadway St 5th Fl, Trauma Services, Missoula, MT 59802-4096 |
Kevin M Sheehan | Internal Medicine | Providence Health and Services Mt | 500 W Broadway St 4th Floor, Providence Broadway Int Med, Missoula, MT 59802-4096 |
John A Willoughby | Psychiatry | Providence Health and Services Mt | 900 N Orange St, 202 Providence Psychiatry, Missoula, MT 59802-2951 |
Rebecca B Hoover | Family Medicine | Providence Health and Services Mt | 621 W Alder, Pmg Mt Missoula Family Medical, Missoula, MT 59802-4014 |
Street Address |
805 MAIN ST |
City | SALMON |
State | ID |
Zip | 83467-4316 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chris A Wilson | Chiropractic | 805 Main St, Winfield, KS 67156-2834 | |
Mary M Whitaker | Qualified Audiologist | Idaho State University | 805 Main St, Salmon, ID 83467-4316 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anna M Schroeder | Qualified Speech Language Pathologist | 5 S Jakich Dr, Salmon, ID 83467-3104 | |
Myllissa M Wyatt | Nurse Practitioner | 102 Courthouse Dr, Suite F, Salmon, ID 83467-3905 | |
Kathryn E Blackadar Oldham | Physical Therapy | Physical Therapy Clinic,inc. | 802 Shoup St, Salmon, ID 83467-4305 |
Nancy J Bryant | Physical Therapy | Physical Therapy Clinic,inc. | 802 Shoup St, Salmon, ID 83467-4305 |
Zhohnann K.p. Thayn | Physical Therapy | Physical Therapy Clinic,inc. | 802 Shoup St, Salmon, ID 83467-4305 |
Mackenzie Robert Cooper | Physical Therapy | Physical Therapy Clinic,inc. | 802 Shoup St, Salmon, ID 83467-4305 |
Lance S Ingwersen | Chiropractic | Salmon River Chiropractic Inc | 104 S Daisy St A, Salmon, ID 83467-4333 |
Richard Samoska | Chiropractic | Salmon River Chiropractic Inc | 104 S Daisy St A, Salmon, ID 83467-4333 |
Jennifer V Coffey | Chiropractic | Salmon River Chiropractic Inc | 104 S Daisy St A, Salmon, ID 83467-4333 |
Suzanna Marie Elliot | Chiropractic | Salmon River Chiropractic Inc | 104 S Daisy St A, Salmon, ID 83467-4333 |
Find all physicians in zip 83467 |
City | SALMON |
Zip Code | 83467 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SALMON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brett Erik Mollenhauer.
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.