Charles M Crane (NPI# 1194762732, PAC ID# 7315928975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1194762732 |
| PAC ID by PECOS | 7315928975 |
| Professional Enrollment ID | I20040625000745 |
| Full Name | Charles M Crane |
| Organization Legal Name | INTERNAL MEDICINE ASSOCIATES, P.A. |
| Address |
102 S Euclid Ave Suite 202 Sandpoint ID 83864-4912 |
| Phone Number | 2082636876 |
| Gender | M |
| Credential | MD |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1759366818 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131328 | BONNER GENERAL HOSPITAL |
| 131301 | BOUNDARY COMMUNITY HOSPITAL |
| 130049 | KOOTENAI HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 102 S Euclid Ave, Suite 202, Sandpoint, ID 83864-4912 | 2082636876 | INTERNAL MEDICINE ASSOCIATES, P.A. |
| 423 N 3rd Ave, Sandpoint, ID 83864-1505 | BONNER GENERAL HOSPITAL, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 51% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% |
| Organization Legal Name | INTERNAL MEDICINE ASSOCIATES, P.A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paige Russell | Nurse Practitioner | Internal Medicine Associates, P.a. | 102 S Euclid Ave, Suite 202, Sandpoint, ID 83864-4912 |
| Whitney V Lilly | Nurse Practitioner | Internal Medicine Associates, P.a. | 102 S Euclid Ave, Suite 202, Sandpoint, ID 83864-4912 |
| Street Address |
102 S EUCLID AVE SUITE 202 |
| City | SANDPOINT |
| State | ID |
| Zip | 83864-4912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Cory Van Den Berg | Chiropractic | 102 S Euclid Ave, Suite 109, Sandpoint, ID 83864-4916 | |
| Bambi R Lassen | Clinical Social Worker | 102 S Euclid Ave, Suite 111, Sandpoint, ID 83864-4916 | |
| Paige Russell | Nurse Practitioner | Internal Medicine Associates, P.a. | 102 S Euclid Ave, Suite 202, Sandpoint, ID 83864-4912 |
| Brianna Curran Thoreson | Clinical Social Worker | 102 S Euclid Ave, Suite 111, Sandpoint, ID 83864-4916 | |
| Whitney V Lilly | Nurse Practitioner | Internal Medicine Associates, P.a. | 102 S Euclid Ave, Suite 202, Sandpoint, ID 83864-4912 |
| Rick A Baker | Chiropractic | 102 S Euclid Ave, Suite 109, Sandpoint, ID 83864-4916 | |
| Mary A Boyd | Physical Therapy | Mountain View Physical Therapy, PC | 102 S Euclid Ave, Sandpoint, ID 83864-4916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawna Benner Erickson | Physical Therapy | 1005 Hwy 2 W, Sandpoint, ID 83864 | |
| Jason Marc Petersen | Optometry | Eye Clinic of Sandpoint Pa | 307 S 1st Ave, Sandpoint, ID 83864-1201 |
| Bruce D Bellin | Ophthalmology | Eye Clinic of Sandpoint Pa | 307 S 1st Ave, Sandpoint, ID 83864-1201 |
| Brayden Grant Petersen | Optometry | Eye Clinic of Sandpoint Pa | 307 S 1st Ave, Sandpoint, ID 83864-1201 |
| Charles C George | Ophthalmology | Eye Clinic of Sandpoint Pa | 307 S 1st Ave, Sandpoint, ID 83864-1201 |
| Kathryn C Robertson | Nurse Practitioner | Sandpoint Family Medicine | 302 S 1st Ave, Sandpoint, ID 83864-1258 |
| Mark A Hernandez | Family Medicine | Sandpoint Family Medicine | 302 S 1st Ave, Sandpoint, ID 83864-1258 |
| Brett D Oconnor | Nurse Practitioner | Sandpoint Family Medicine | 302 S 1st Ave, Sandpoint, ID 83864-1258 |
| Don C. H. Henker | Optometry | Drs. D and W Henker, P.C. | 123 S 3rd Ave, Suite 1, Sandpoint, ID 83864-1358 |
| Geoffrey D Greenway | Chiropractic | 123 S 3rd Ave, Suite 6, Sandpoint, ID 83864-1358 | |
| Find all physicians in zip 83864 | |||
| City | SANDPOINT |
| Zip Code | 83864 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SANDPOINT + INTERNAL MEDICINE |
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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.