Cecil J Fackrell (NPI# 1174646400, PAC ID# 4284788498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174646400 |
| PAC ID by PECOS | 4284788498 |
| Professional Enrollment ID | I20090821000215 |
| Full Name | Cecil J Fackrell |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Address |
6333 Long Ave Suite 360 Shawnee KS 66216-2544 |
| Phone Number | 9136316330 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981592334 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6333 Long Ave, Suite 360, Shawnee, KS 66216-2544 | 9136316330 | KANSAS MEDICAL CLINIC PA |
| 2200 Sw 6th St, Topeka, KS 66606-1707 | 7853548518 | KANSAS MEDICAL CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayda Michelle Rupp | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Carla K Skytta | Plastic and Reconstructive Surgery | Kansas Medical Clinic Pa | 6001 Sw6th Ave, Topeka, KS 66615-1011 |
| Majdy A Albahhar | Dermatology | Kansas Medical Clinic Pa | 4201 Anderson Ave, B2, Manhattan, KS 66503-7603 |
| Alexandra Nicole Heeren | Nurse Practitioner | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| Lee R Bittenbender | Dermatology | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| James V Allen | Dermatology | Kansas Medical Clinic Pa | 11301 Nall Ave, Suite 205, Leawood, KS 66211-1672 |
| Shekhar K Challa | Gastroenterology | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Walter A Dean | Physician Assistant | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| Shannon E Mawyin | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Laura L Welborn | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Street Address |
6333 LONG AVE SUITE 360 |
| City | SHAWNEE |
| State | KS |
| Zip | 66216-2544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meena K Singh | Dermatology | Kansas Medical Clinic Pa | 6333 Long Ave, Suite 360, Shawnee, KS 66216-2544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler R Young | Optometry | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216-1829 | |
| Scott R Jones | Physical Therapy | Arc Physical Therapy Plus Lp | 12156 Shawnee Mission Pkwy, Suite C, Shawnee, KS 66216-1830 |
| Douglas A Anderson | Chiropractic | 12510 W 62nd Ter, Suite 101, Shawnee, KS 66216-1869 | |
| Alejandro Gonzalez | Chiropractic | 12480 W 62nd Ter, Suite 103, Shawnee, KS 66216-1871 | |
| Allen Anthony Child | Physical Therapy | 12480 W 62nd Terrace, Suite 100, Shawnee, KS 66216-1871 | |
| Maria Palmeri | Family Medicine | Palmeri Family Medicine Associates Pa | 6345 Long Ave, Shawnee, KS 66216-2504 |
| Susan K Fajardo | Physician Assistant | Palmeri Family Medicine Associates Pa | 6345 Long Ave, Shawnee, KS 66216-2504 |
| John L Crane | Family Medicine | Palmeri Family Medicine Associates Pa | 6345 Long Ave, Shawnee, KS 66216-2504 |
| Vicente C Palmeri | Family Medicine | Palmeri Family Medicine Associates Pa | 6345 Long Ave, Shawnee, KS 66216-2504 |
| Allison M Godchaux | Nurse Practitioner | Palmeri Family Medicine Associates Pa | 6345 Long Ave, Shawnee, KS 66216-2504 |
| Find all physicians in zip 66216 | |||
| City | SHAWNEE |
| Zip Code | 66216 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SHAWNEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Cecil J Fackrell.
| 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.