Maureen Brenna Ferguson (NPI# 1619263373, PAC ID# 7012154990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619263373 |
| PAC ID by PECOS | 7012154990 |
| Professional Enrollment ID | I20151102001584 |
| Full Name | Maureen Brenna Ferguson |
| Organization Legal Name | ST LUKES CLINIC-MCCALL LLC |
| Address |
211 Forest St Mccall ID 83638-5256 |
| Phone Number | 2086342225 |
| Gender | F |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7618127994 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131312 | ST LUKE'S MCCALL |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 211 Forest St, Mccall, ID 83638-5256 | 2086342225 | ST LUKES CLINIC-MCCALL LLC |
| Organization Legal Name | ST LUKES CLINIC-MCCALL LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Beaman | Physician Assistant | St Lukes Clinic-mccall LLC | 200 Forest St, Mccall, ID 83638-5256 |
| Jacob Wilson | Clinical Social Worker | St Lukes Clinic-mccall LLC | 301 Deinhard Ln, Mccall, ID 83638-4703 |
| Patrick O Kinney | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Marcia L Witte | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Todd J Arndt | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| David G Burica | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Nicole D Rota | Physician Assistant | St Lukes Clinic-mccall LLC | 200 Forest St, Mccall, ID 83638-5256 |
| Caitlin J Gustafson | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Megan K Fitzmaurice | Nurse Practitioner | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Jennifer K Lewis | Family Medicine | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Street Address |
211 FOREST ST |
| City | MCCALL |
| State | ID |
| Zip | 83638-5256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thad W Wilkey | Physician Assistant | Comprehensive Dermatology of Idaho, Pllc | 211 Forest St, Mccall, ID 83638-5256 |
| Megan K Fitzmaurice | Nurse Practitioner | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Jennifer K Lewis | Family Medicine | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| John A Kremer Ii | Family Medicine | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Shawna M Beechinor | Physician Assistant | Comprehensive Dermatology of Idaho, Pllc | 211 Forest St, Mccall, ID 83638-5256 |
| Sarah A Curtin | Family Medicine | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Ryan S Owsley | Dermatology | Comprehensive Dermatology of Idaho, Pllc | 211 Forest St, Mccall, ID 83638-5256 |
| Faith Y Peterson | Nurse Practitioner | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Guy Jeppe Iii | Chiropractic | 301 E Park St, Mccall, ID 83638 | |
| Irwin Mulnick | Chiropractic | 201 Park St, Mccall, ID 83638 | |
| Patrick O Kinney | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Marcia L Witte | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Todd J Arndt | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| David G Burica | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Caitlin J Gustafson | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Douglas H Irvine | Anesthesiology | Anesthesia Associates of Boise, P.a. | 1000 State St, Mccall, ID 83638-3704 |
| Gregory W Irvine | Orthopedic Surgery | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Julie L Welty | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Find all physicians in zip 83638 | |||
| City | MCCALL |
| Zip Code | 83638 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MCCALL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Maureen Brenna Ferguson.
| 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.