Charisse L Prall (NPI# 1699292722, PAC ID# 6800162140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699292722 |
| PAC ID by PECOS | 6800162140 |
| Professional Enrollment ID | I20171101000175 |
| Full Name | Charisse L Prall |
| Organization Legal Name | FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY INC |
| Address |
11143 Parkview Plaza Dr Suite 100 Fort Wayne IN 46845-1728 |
| Phone Number | 2604848830 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961394440 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 150045 | DEKALB HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 11143 Parkview Plaza Dr, Suite 100, Fort Wayne, IN 46845-1728 | 2604848830 | FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY INC |
| Organization Legal Name | FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie J Boots | Nurse Practitioner | Fort Wayne Medical Oncology and Hematology Inc | 2514 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1619 |
| Praveen Kollipara | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 2001 Stults Rd, Huntington, IN 46750-1291 |
| Ryan A Gonzales | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 7910 W Jefferson Blvd, Suite 108, Fort Wayne, IN 46804-4159 |
| Charles J Whalen | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 1316 E 7th St, Auburn, IN 46706-2538 |
| Gary R Gize | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 11143 Parkview Plaza Dr, Suite 100, Fort Wayne, IN 46845-1728 |
| Guinevere M Nilles | Physician Assistant | Fort Wayne Medical Oncology and Hematology Inc | 7910 W Jefferson Blvd, Suite 108, Fort Wayne, IN 46804-4159 |
| Jacklyn K Schaffer | Nurse Practitioner | Fort Wayne Medical Oncology and Hematology Inc | 11143 Parkview Plaza Dr, Suite 100, Fort Wayne, IN 46845-1728 |
| Shalini Chitneni | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 7910 W Jefferson Blvd, Suite 108, Fort Wayne, IN 46804-4159 |
| Michael Epstein | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 303 S Main St, Bluffton, IN 46714-2503 |
| Matthew L Carr | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 516 E Maumee St, Angola, IN 46703-2017 |
| Street Address |
11143 PARKVIEW PLAZA DR SUITE 100 |
| City | FORT WAYNE |
| State | IN |
| Zip | 46845-1728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Stewart Hutner | Psychologist, Clinical | Parkview Health System Inc | 11143 Parkview Plaza Dr, Fort Wayne, IN 46845-1727 |
| Tara N Sipe | Nurse Practitioner | Parkview Health System Inc | 11143 Parkview Plaza Dr, Suite 207, Fort Wayne, IN 46845-1728 |
| Shelly M Barlow | Nurse Practitioner | Parkview Health System Inc | 11143 Parkview Plaza Dr, Fort Wayne, IN 46845-1727 |
| Gary R Gize | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 11143 Parkview Plaza Dr, Suite 100, Fort Wayne, IN 46845-1728 |
| Lakshmi Mohan Viji Das | Endocrinology | Parkview Health System Inc | 11143 Parkview Plaza Dr, Fort Wayne, IN 46845-1727 |
| Melissa Ann Lucio | Nurse Practitioner | Parkview Health System Inc | 11143 Parkview Plaza Dr, Suite 207, Fort Wayne, IN 46845-1728 |
| Jacklyn K Schaffer | Nurse Practitioner | Fort Wayne Medical Oncology and Hematology Inc | 11143 Parkview Plaza Dr, Suite 100, Fort Wayne, IN 46845-1728 |
| Ellen N Underwood | Nurse Practitioner | Parkview Health System Inc | 11143 Parkview Plaza Dr, Fort Wayne, IN 46845-1727 |
| Farrukh M Adhami | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 11143 Parkview Plaza Dr, Suite 100, Fort Wayne, IN 46845-1728 |
| Renee E Buskirk | Psychologist, Clinical | Parkview Health System Inc | 11143 Parkview Plaza Dr, Suite 207, Fort Wayne, IN 46845-1728 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy A Auld | Nurse Practitioner | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Karin L Mohs | Nurse Practitioner | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Justin Charles Reis | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Michael Mamdouh Makary | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Rakesh K Subramanian | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Georges Debal | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Simon Peter Crass | Gastroenterology | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Aaron Thomas Thornburg | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| David W Clark | Gastroenterology | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Wheeler John Dale | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Find all physicians in zip 46845 | |||
| City | FORT WAYNE |
| Zip Code | 46845 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT WAYNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charisse L Prall.
| 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.