Lisa J Prewitt (NPI# 1538148200, PAC ID# 3870483415) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538148200 |
| PAC ID by PECOS | 3870483415 |
| Professional Enrollment ID | I20040317001465 |
| Full Name | Lisa J Prewitt |
| Organization Legal Name | ANESTHESIA AND PAIN CONSULTANTS, PC |
| Address |
5515 Utica Ridge Rd Suite 600 Davenport IA 52807-3927 |
| Phone Number | 5633441050 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850292251 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160057 | GREAT RIVER MEDICAL CENTER |
| 160008 | KEOKUK AREA HOSPITAL |
| 160122 | FORT MADISON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5515 Utica Ridge Rd, Suite 600, Davenport, IA 52807-3927 | 5633441050 | ANESTHESIA AND PAIN CONSULTANTS, PC |
| 400 N 17th St, Keokuk, IA 52632-3452 | 3195245734 | COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC |
| 1706 W Agency Rd, West Burlington, IA 52655-1667 | 3197685858 | COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | ANESTHESIA AND PAIN CONSULTANTS, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Dooley | Interventional Pain Management | Anesthesia and Pain Consultants, PC | 5515 Utica Ridge Rd, Suite 600, Davenport, IA 52807-3927 |
| Julie A Ridgley | Certified Registered Nurse Anesthetist (crna) | Anesthesia and Pain Consultants, PC | 5515 Utica Ridge Rd, Suite 600, Davenport, IA 52807-3927 |
| Michelle S Prisner | Nurse Practitioner | Anesthesia and Pain Consultants, PC | 5515 Utica Ridge Rd, Suite 600, Davenport, IA 52807-3927 |
| Street Address |
5515 UTICA RIDGE RD SUITE 600 |
| City | DAVENPORT |
| State | IA |
| Zip | 52807-3927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Dooley | Interventional Pain Management | Anesthesia and Pain Consultants, PC | 5515 Utica Ridge Rd, Suite 600, Davenport, IA 52807-3927 |
| Julie A Ridgley | Certified Registered Nurse Anesthetist (crna) | Anesthesia and Pain Consultants, PC | 5515 Utica Ridge Rd, Suite 600, Davenport, IA 52807-3927 |
| Michelle S Prisner | Nurse Practitioner | Anesthesia and Pain Consultants, PC | 5515 Utica Ridge Rd, Suite 600, Davenport, IA 52807-3927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine F Oswald | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Karen K Maves | Allergy/immunology | 2112 E 38th St, Davenport, IA 52807-1135 | |
| Robin R Peterson | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert L Koupal | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Wayne M Sliwa | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Judy H Prochaska | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Julia Marmion | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jolene C Atkinson | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert Andrew Gillespie | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jessica M Schultz | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Find all physicians in zip 52807 | |||
| City | DAVENPORT |
| Zip Code | 52807 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DAVENPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa J Prewitt.
| 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.