Stephen Tetrault (NPI# 1598008062, PAC ID# 6507098811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598008062 |
| PAC ID by PECOS | 6507098811 |
| Professional Enrollment ID | I20160610000400 |
| Full Name | Stephen Tetrault |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Address |
17675 Welch Plz Omaha NE 68135-3453 |
| Phone Number | 4023547600 |
| Gender | M |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880506062 |
| Number of Group Practice Members | 376 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17675 Welch Plz, Omaha, NE 68135-3453 | 4023547600 | PHYSICIANS CLINIC INC |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Physicians | 386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Klug | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Jami Jo Dowell | Nurse Practitioner | Physicians Clinic Inc | 1400 Senate Ave, 105 Methodist Physicians Clinic Red Oak, Red Oak, IA 51566-1271 |
| Maureen A Boyle-manganaro | Obstetrics/gynecology | Physicians Clinic Inc | 320 Ebaugh St, Methodist Physicians Clinic Glenwood, Glenwood, IA 51534-1811 |
| Stephanie R Revord | Nurse Practitioner | Physicians Clinic Inc | 3353 L St, Omaha, NE 68107-2500 |
| Umasankari Sundaram | Endocrinology | Physicians Clinic Inc | 7831 Chicago Ct, Omaha, NE 68114-3654 |
| Karen T Bagniewski | Nurse Practitioner | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Angela R Vogel | Nurse Practitioner | Physicians Clinic Inc | 933 E Pierce St, Methodist Jennie Edmundson, Council Bluffs, IA 51503-4626 |
| Jennifer D Stone | Family Medicine | Physicians Clinic Inc | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 |
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Claudia M Balta | Physician Assistant | Physicians Clinic Inc | 1 Edmundson Pl, 310 Methodist Physicians Clinic Council Bluffs, Council Bluffs, IA 51503-4658 |
| Street Address |
17675 WELCH PLZ |
| City | OMAHA |
| State | NE |
| Zip | 68135-3453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn L Dischler | Chiropractic | 18111 Q St, Suite 104, Omaha, NE 68135-1245 | |
| Michael S Bahe | Physical Therapy | Procare 3 Inc | 17725 Welch Plz, Suite A, Omaha, NE 68135-1402 |
| Kristin Ann Reed | Optometry | 19060 Q St, Suite 107, Omaha, NE 68135-1503 | |
| Andrew James Hauptman | Chiropractic | 19060 Q St, Suite 105, Omaha, NE 68135-1503 | |
| Lesa Gaye Verplank | Nurse Practitioner | Alegent Health Quick Care LLC | 17810 Welch Plz, Omaha, NE 68135-1620 |
| Lyndsey K Hinsley | Nurse Practitioner | Alegent Health Quick Care LLC | 17810 Welch Plz, Omaha, NE 68135-1620 |
| Carolyn Marie Bevins | Nurse Practitioner | Alegent Health Quick Care LLC | 17810 Welch Plz, Omaha, NE 68135-1620 |
| Nicole Marie Mixan | Nurse Practitioner | Alegent Health Quick Care LLC | 17810 Welch Plz, Omaha, NE 68135-1620 |
| Alison K Simmons | Chiropractic | 6723 S 180th St, Omaha, NE 68135-1883 | |
| Jeremiah Jon Rethwisch | Chiropractic | 18010 R Plz, Suite 104, Omaha, NE 68135-1923 | |
| Find all physicians in zip 68135 | |||
| City | OMAHA |
| Zip Code | 68135 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OMAHA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stephen Tetrault.
| 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.