Libby M Brever (NPI# 1649447715, PAC ID# 4183779481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1649447715 |
PAC ID by PECOS | 4183779481 |
Professional Enrollment ID | I20090910000513 |
Full Name | Libby M Brever |
Organization Legal Name | CENTRACARE CLINIC |
Address |
320 3rd Ave Albany MN 56307-9363 |
Phone Number | 3208452157 |
Gender | F |
Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 2008 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2466363395 |
Number of Group Practice Members | 601 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240036 | ST CLOUD HOSPITAL |
241330 | CENTRACARE HEALTH SYSTEM - MELROSE HOSPITAL |
Address | Phone | Organization |
---|---|---|
320 3rd Ave, Albany, MN 56307-9363 | 3208452157 | CENTRACARE CLINIC |
Organization Legal Name | CENTRACARE CLINIC |
Physicians | 630 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brittany D Kirkeby | Family Medicine | Centracare Clinic | 30 Railroad Ave, Albany, MN 56307-9379 |
Stephanie A Boysen | Nurse Practitioner | Centracare Clinic | 615 Nelson Dr Po Box, Suite 217, Clearwater, MN 55320 |
Evan L Dyce | Nurse Practitioner | Centracare Clinic | 1200 6th N Ave, Saint Cloud, MN 56303-2735 |
Janelle M Terhaar | Nurse Practitioner | Centracare Clinic | 20 9th St Se, Long Prairie, MN 56347-1404 |
Craig B Tangen | Certified Registered Nurse Anesthetist (crna) | Centracare Clinic | 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2253 |
Katrina N Wherry | Family Medicine | Centracare Clinic | 1360 Elm St E, St Joseph, MN 56374-4694 |
Ashley A Rood | Nurse Practitioner | Centracare Clinic | 113 Waite Ave S, Suite 101, Waite Park, MN 56387-1348 |
Elizabeth Anne Phillips | Urology | Centracare Clinic | 2351 Connecticut S Ave, 200 Suite 200, Sartell, MN 56377-2477 |
Michelle L Jones | Nurse Practitioner | Centracare Clinic | 161 Glen St, Suite 101, Foley, MN 56329-4514 |
Erin F Osmundson | Nurse Practitioner | Centracare Clinic | 500 Park St E, Annandale, MN 55302-3060 |
Street Address |
320 3RD AVE |
City | ALBANY |
State | MN |
Zip | 56307-9363 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daron W Gersch | Family Medicine | Centracare Clinic | 320 3rd Ave, Albany, MN 56307-9363 |
Stephanie A Olson | Nurse Practitioner | Centracare Clinic | 320 3rd Ave, Albany, MN 56307-9363 |
Hannah E Johnson | Physical Therapy | St. Cloud Hospital | 320 3rd Ave, Albany, MN 56307-9363 |
Josa James Martin | Physical Therapy | St. Cloud Hospital | 320 3rd Ave, Albany, MN 56307-9363 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brittany D Kirkeby | Family Medicine | Centracare Clinic | 30 Railroad Ave, Albany, MN 56307-9379 |
Ricky F Groetsch | Optometry | 471 Railroad Ave, Albany, MN 56307-9458 |
City | ALBANY |
Zip Code | 56307 |
Specialty | FAMILY MEDICINE |
City + Specialty | ALBANY + FAMILY MEDICINE |
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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.