Carla Michelle Reed (NPI# 1083168785, PAC ID# 3072800549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1083168785 |
PAC ID by PECOS | 3072800549 |
Professional Enrollment ID | I20161118000126 |
Full Name | Carla Michelle Reed |
Organization Legal Name | FAMILY HEALTH AND WELLNESS CLINIC, LLC |
Address |
148 S Main St Liberal MO 64762-9314 |
Phone Number | 4178432008 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2163785106 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
261325 | BARTON COUNTY MEMORIAL HOSPITAL |
260061 | NEVADA REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
148 S Main St, Liberal, MO 64762-9314 | 4178432008 | FAMILY HEALTH AND WELLNESS CLINIC, LLC |
Organization Legal Name | FAMILY HEALTH AND WELLNESS CLINIC, LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Judy Munyon Parton | Emergency Medicine | Family Health and Wellness Clinic, LLC | 148 S Main St, Liberal, MO 64762-9314 |
Street Address |
148 S MAIN ST |
City | LIBERAL |
State | MO |
Zip | 64762-9314 |
Name | Specialty | Organization | Address |
---|---|---|---|
Judy Munyon Parton | Emergency Medicine | Family Health and Wellness Clinic, LLC | 148 S Main St, Liberal, MO 64762-9314 |
Joseph E Hines | Clinical Social Worker | 148 S Main St, 103c, Mount Clemens, MI 48043-7900 |
City | LIBERAL |
Zip Code | 64762 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LIBERAL + 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.