Erin Katie Idacavage (NPI# 1225134349, PAC ID# 4880992148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1225134349 |
| PAC ID by PECOS | 4880992148 |
| Professional Enrollment ID | I20160420000357 |
| Full Name | Erin Katie Idacavage |
| Organization Legal Name | SERC REHABILITATION PARTNERS, LLC |
| Address |
1004 Progress Dr Suite 100 Lansing KS 66043-6323 |
| Phone Number | 9133513586 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9830344563 |
| Number of Group Practice Members | 155 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1004 Progress Dr, Suite 100, Lansing, KS 66043-6323 | 9133513586 | SERC REHABILITATION PARTNERS, LLC |
| 1004 Progress Dr, Lansing, KS 66043-6323 | 9133513586 | SERC REHABILITATION PARTNERS, LLC |
| 2303 Higgins Rd, Suite A, Platte City, MO 64079-9232 | 8168580252 | SERC REHABILITATION PARTNERS, LLC |
| 2303 Higgins Rd, Platte City, MO 64079-9232 | 8168580252 | SERC REHABILITATION PARTNERS, LLC |
| Organization Legal Name | SERC REHABILITATION PARTNERS, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia Nicole Beausoleil | Physical Therapy | Serc Rehabilitation Partners, LLC | 6640 Johnson Dr, Mission, KS 66202-2617 |
| Michael Joseph Peterson | Physical Therapy | Serc Rehabilitation Partners, LLC | 3405 Nw Hunters Ridge Terr, 300 Serc N Topeka, Topeka, KS 66618-2510 |
| Ashlynn Sundvold Bryson | Physical Therapy | Serc Rehabilitation Partners, LLC | 1741 Ne Douglas St, 202 Serc Douglas, Lees Summit, MO 64086-4705 |
| Street Address |
1004 PROGRESS DR SUITE 100 |
| City | LANSING |
| State | KS |
| Zip | 66043-6323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Steinhaus | Cardiac Electrophysiology | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Kathleen R Mcbratney | Family Medicine | Complete Family Care LLC | 1004 Progress Dr, Suite 200, Lansing, KS 66043-6323 |
| Riaz R Rabbani | Cardiovascular Disease (cardiology) | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Steven S Ranzenberger | Otolaryngology | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Lisa A Weber | Nephrology | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| James H O Keefe Jr. | Cardiovascular Disease (cardiology) | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Mike Andrew Mendiola | Physical Therapy | Serc Rehabilitation Partners LLC | 1004 Progress Dr, Suite 100, Lansing, KS 66043-6323 |
| Jeri D Stephenson | Physician Assistant | Complete Family Care LLC | 1004 Progress Dr, Suite 200, Lansing, KS 66043-6323 |
| Crystal D Murphy | Certified Nurse Midwife (cnm) | Care for Women, LLC | 1004 Progress Dr, 120 Specialists In Womens Care, Lansing, KS 66043-6323 |
| Randall C Thompson | Cardiovascular Disease (cardiology) | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Walters | Chiropractic | 848 N Main St, Lansing, KS 66043-1305 | |
| Jay L Carter | Chiropractic | 610 N Main St, Lansing, KS 66043-1308 | |
| Ryan P Smith | Chiropractic | 100 E Kansas St, Suite E, Lansing, KS 66043-1610 | |
| Debbie Ann Name | Physician Assistant | Leavenworth Family Health Center | 720 1st Ter, Lansing, KS 66043-1704 |
| Peter J Cristiano | Family Medicine | Leavenworth Family Health Center | 720 1st Ter, Lansing, KS 66043-1704 |
| Mira Kim | Nurse Practitioner | Leavenworth Family Health Center | 720 1st Ter, Lansing, KS 66043-1704 |
| Valerie Watts | Nurse Practitioner | Leavenworth Family Health Center | 720 1st Ter, Lansing, KS 66043-1704 |
| Addie E Long | Physical Therapy | Preferred Pt LLC | 712 1st Ter, Suite 103, Lansing, KS 66043-1735 |
| Arden B Andersen | Family Medicine | 712 1st Ter, Suite 205, Lansing, KS 66043-1735 | |
| Molly M Porter | Physical Therapy | Preferred Pt LLC | 712 1st Ter, Suite 103, Lansing, KS 66043-1735 |
| Find all physicians in zip 66043 | |||
| City | LANSING |
| Zip Code | 66043 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LANSING + PHYSICAL THERAPY |
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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.