Crystal R Falke (NPI# 1003184912, PAC ID# 3870742000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1003184912 |
| PAC ID by PECOS | 3870742000 |
| Professional Enrollment ID | I20121004000002 |
| Full Name | Crystal R Falke |
| Organization Legal Name | MASON HOSPITAL DISTRICT |
| Address |
122 E Elm St Mason City IL 62664-1410 |
| Phone Number | 2174823400 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2466360607 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141322 | ABRAHAM LINCOLN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 122 E Elm St, Mason City, IL 62664-1410 | 2174823400 | MASON HOSPITAL DISTRICT |
| Organization Legal Name | MASON HOSPITAL DISTRICT |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos Alberto Urdininea Kirkwood | Internal Medicine | Mason Hospital District | 615 N Promenade, Havana, IL 62644-1243 |
| Cristy M Lane | Nurse Practitioner | Mason Hospital District | 1301 S E Ave, Manito, IL 61546-8909 |
| Kayla R Miller | Internal Medicine | Mason Hospital District | 615 N Promenade, Havana, IL 62644-1243 |
| John Quinones | Family Medicine | Mason Hospital District | 615 N Promenade, Havana, IL 62644-1243 |
| Julius P Bonello | General Surgery | Mason Hospital District | 615 N Promenade, Havana, IL 62644-1243 |
| Tad A Yetter | Internal Medicine | Mason Hospital District | 615 N Promenade, Havana, IL 62644-1243 |
| Bethany L Bitner | Family Medicine | Mason Hospital District | 615 N Promenade, Havana, IL 62644-1243 |
| Bruce W Schultz | Family Medicine | Mason Hospital District | 615 N Promenade, Havana, IL 62644-1243 |
| Nancy Mueller Fleenor | Nurse Practitioner | Mason Hospital District | 615 N Promenade, Havana, IL 62644-1243 |
| James T Brown | Emergency Medicine | Mason Hospital District | 615 N Promenade, Havana, IL 62644-1243 |
| Street Address |
122 E ELM ST |
| City | MASON CITY |
| State | IL |
| Zip | 62664-1410 |
| City | MASON CITY |
| Zip Code | 62664 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MASON CITY + PHYSICIAN ASSISTANT |
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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.