Kathleen E Haycraft (NPI# 1508874736, PAC ID# 4183779184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508874736 |
| PAC ID by PECOS | 4183779184 |
| Professional Enrollment ID | I20090826000858 |
| Full Name | Kathleen E Haycraft |
| Organization Legal Name | RIVERSIDE DERMATOLOGY AND SPA LLC |
| Address |
163 Medical Dr Suite 1 Hannibal MO 63401-6884 |
| Phone Number | 2179197217 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214282227 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260025 | HANNIBAL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 163 Medical Dr, Suite 1, Hannibal, MO 63401-6884 | 2179197217 | RIVERSIDE DERMATOLOGY AND SPA LLC |
| Organization Legal Name | RIVERSIDE DERMATOLOGY AND SPA LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan T Voss | Nurse Practitioner | Riverside Dermatology and Spa LLC | 163 Medical Dr, Suite 1, Hannibal, MO 63401-6884 |
| Linda M Cooke | Dermatology | Riverside Dermatology and Spa LLC | 163 Medical Dr, Suite 1, Hannibal, MO 63401-6884 |
| Street Address |
163 MEDICAL DR SUITE 1 |
| City | HANNIBAL |
| State | MO |
| Zip | 63401-6884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan T Voss | Nurse Practitioner | Riverside Dermatology and Spa LLC | 163 Medical Dr, Suite 1, Hannibal, MO 63401-6884 |
| Linda M Cooke | Dermatology | Riverside Dermatology and Spa LLC | 163 Medical Dr, Suite 1, Hannibal, MO 63401-6884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald A Miller | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Harsha Desai | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Hemal Mahesh Patel | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Victor A Maalouf | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Lance W Dorsey | Diagnostic Radiology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Charles Rey Watson | Anesthesiology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Ni Jin | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Harjodh Puar | Internal Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Nadine L Davis | Certified Registered Nurse Anesthetist (crna) | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Sohail Gulzar | Internal Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Find all physicians in zip 63401 | |||
| City | HANNIBAL |
| Zip Code | 63401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HANNIBAL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathleen E Haycraft.
| 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.