Miranda N Funk Garrett (NPI# 1548491566, PAC ID# 5496891871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1548491566 |
| PAC ID by PECOS | 5496891871 |
| Professional Enrollment ID | I20091015000502 |
| Full Name | Miranda N Funk Garrett |
| Organization Legal Name | BELCREST SERVICES LTD |
| Address |
621 W Jackson St Morton IL 61550-1598 |
| Phone Number | 3092634343 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335037217 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 621 W Jackson St, Morton, IL 61550-1598 | 3092634343 | BELCREST SERVICES LTD |
| 1120 E War Memorial Dr, Proctor First Care Peoria Heights, Peoria Heights, IL 61616-7757 | 3096854411 | BELCREST SERVICES LTD |
| 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 3096854411 | BELCREST SERVICES LTD |
| Organization Legal Name | BELCREST SERVICES LTD |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prem L Bhatia | Family Practice | Belcrest Services Ltd | 2535 E Washington St, Proctor First Care East Peoria, East Peoria, IL 61611-1863 |
| Ziad A Musaitif | Family Practice | Belcrest Services Ltd | 2535 E Washington St, East Peoria, IL 61611-1863 |
| Donald E Mitzelfelt | Family Practice | Belcrest Services Ltd | 621 W Jackson St, Morton, IL 61550-1598 |
| Cheryl L Wegman | Family Practice | Belcrest Services Ltd | 2535 E Washington St, Proctor First Care East Peoria, East Peoria, IL 61611-1863 |
| G Gene Sidler | Internal Medicine | Belcrest Services Ltd | 621 W Jackson St, Morton, IL 61550-1598 |
| Street Address |
621 W JACKSON ST |
| City | MORTON |
| State | IL |
| Zip | 61550-1598 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald E Mitzelfelt | Family Practice | Belcrest Services Ltd | 621 W Jackson St, Morton, IL 61550-1598 |
| G Gene Sidler | Internal Medicine | Belcrest Services Ltd | 621 W Jackson St, Morton, IL 61550-1598 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Walsh | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Patricia J Geisz | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Anthony Schupp | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Jennah Siwak | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Ashley N Brandt | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Nicole Kaltwasser | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Stephanie J Shepherdson | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Emily K Getz | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Taariq Goder | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Mary E Gerig | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Find all physicians in zip 61550 | |||
| City | MORTON |
| Zip Code | 61550 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MORTON + NURSE PRACTITIONER |
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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.