Mary J Dagenais (NPI# 1689666364, PAC ID# 4688669658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1689666364 |
| PAC ID by PECOS | 4688669658 |
| Professional Enrollment ID | I20040419000774 |
| Full Name | Mary J Dagenais |
| Address |
137 E Main St Pawhuska OK 74056-5213 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371309 | PAWHUSKA HOSPITAL, INC |
| 370018 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 137 E Main St, Pawhuska, OK 74056-5213 |
| Street Address |
137 E MAIN ST |
| City | PAWHUSKA |
| State | OK |
| Zip | 74056-5213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith M Dworkin | Optometry | 137 E Main St, Smithtown, NY 11787-2872 | |
| Rory A Young | Physical Therapy | 137 E Main St, Advncd Physcl Thrpy, Gouverneur, NY 13642-1427 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Cameron Rumsey | Family Medicine | Pawhuska Hospital Inc | 1101 E 15th St, Pawhuska, OK 74056-1901 |
| Heather Fawn Arrington | Nurse Practitioner | Pawhuska Hospital Inc | 1101 E 15th St, Pawhuska, OK 74056-1901 |
| Rondall H. Dunkle | Nurse Practitioner | Pawhuska Hospital Inc | 1101 E 15th St, Pawhuska, OK 74056-1901 |
| Robert F Chesbro Jr. | Family Medicine | Osage Nation | 715 Grandview Ave, Pawhuska, OK 74056-3201 |
| Janette L Dunn | Clinical Social Worker | Osage Nation | 715 Grandview Ave, Pawhuska, OK 74056-3201 |
| Kimberly Kay Holt | Nurse Practitioner | Osage Nation | 715 Grandview Ave, Pawhuska, OK 74056-3201 |
| Kelsey Winona Ann Riebel | Physician Assistant | Osage Nation | 715 Grandview Ave, Pawhuska, OK 74056-3201 |
| Gerard F Shea | Family Practice | Osage Nation | 715 Grandview Ave, Pawhuska, OK 74056-3201 |
| Paul G Pierce | Psychiatry | Osage Nation | 715 Grandview Ave, Pawhuska, OK 74056-3201 |
| Theresa Flowerette | Nurse Practitioner | 230 E 5th St, Pawhuska, OK 74056-5204 | |
| Find all physicians in zip 74056 | |||
| City | PAWHUSKA |
| Zip Code | 74056 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PAWHUSKA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mary J Dagenais.
| 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.