Lottie M Everett (NPI# 1285129460, PAC ID# 4587906128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285129460 |
| PAC ID by PECOS | 4587906128 |
| Professional Enrollment ID | I20190430001976 |
| Full Name | Lottie M Everett |
| Organization Legal Name | EASTLAND MEMORIAL HOSPITAL DISTRICT |
| Address |
200 Walnut St Walnut Street Clinic Ranger TX 76470-2054 |
| Phone Number | 2546471182 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072412725 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450411 | EASTLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2735 Villa Creek Dr, Suite A143, Farmers Branch, TX 75234-7454 | 9726777964 | TRINITY HOME VISITING DOCTORS PLLC |
| 200 Walnut St, Walnut Street Clinic, Ranger, TX 76470-2054 | 2546471182 | EASTLAND MEMORIAL HOSPITAL DISTRICT |
| Organization Legal Name | EASTLAND MEMORIAL HOSPITAL DISTRICT |
| Physicians | 1 |
| Street Address |
200 WALNUT ST WALNUT STREET CLINIC |
| City | RANGER |
| State | TX |
| Zip | 76470-2054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip R Webb | Family Medicine | 200 Walnut St, Ranger, TX 76470-2054 | |
| Martin L Shuman | Optometry | 200 Walnut St, Saugus, MA 01906-1158 | |
| Robert A Buonfiglio | Optometry | 200 Walnut St, Saugus, MA 01906-1175 |
| City | RANGER |
| Zip Code | 76470 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RANGER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lottie M Everett.
| 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.