Rene Alissa Mussell (NPI# 1639412125, PAC ID# 7517269178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1639412125 |
| PAC ID by PECOS | 7517269178 |
| Professional Enrollment ID | I20170111001789 |
| Full Name | Rene Alissa Mussell |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Address |
950 S 500 Brigham City UT 84302-4724 |
| Phone Number | 4357349471 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4284548116 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| 521337 | ST CROIX REGIONAL MEDICAL CTR |
| 240106 | REGIONS HOSPITAL |
| 240066 | LAKEVIEW MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 S 500, Brigham City, UT 84302-4724 | 4357349471 | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| 415 6th St, Lewiston, ID 83501-2431 | 5127303056 | HNI MEDICAL SERVICES OF IDAHO, LLC |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallas T Koperski | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Bradley Cris Cowley | Emergency Medicine | Emergency Physicians Integrated Care LLC | 2055 N Main, Mountain West Medical Center, Tooele, UT 84074-9819 |
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Ronald Rogers | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Chase D Bailey | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 3451 W 5600, Roy, UT 84067-9112 |
| Raymond William Allen | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 5475 S 500, Ogden, UT 84405-6905 |
| Tammy K Park | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Darren Brockie | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Quinn M Weber | Emergency Medicine | Emergency Physicians Integrated Care LLC | 3580 W 9000, West Jordan, UT 84088-8812 |
| John A Silverman | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Street Address |
950 S 500 |
| City | BRIGHAM CITY |
| State | UT |
| Zip | 84302-4724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Rogers | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Ryan H Larsen | Urology | 950 S 500, Brigham City, UT 84302-4724 | |
| Sean M Stanley | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Robert T Torman | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Chris N Berrett | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Erin Frazer | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Jan M Ashdown | General Surgery | Ashdown Surgical PC | 950 S 500, Brigham City, UT 84302-4719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deserae J Goble | Family Medicine | 1950 S Hyway, Suite 89, Perry, UT 84302 | |
| Luellen C Brown | Clinical Social Worker | Bear River Mental Health Services Inc | 950 S 663, Brigham City, UT 84302 |
| Chantel B Murrah | Podiatry | 775 N 200, Willow Glen Health and Rehabilitation, Brigham City, UT 84302-1303 | |
| Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
| Tara Lee Dalton | Physician Assistant | Access Healthcare LLC | 5 W 200, Brigham City, UT 84302-2109 |
| Christie Lynn Powell | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Cyndi Susan Tangren | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Suzanne E Lee | Family Medicine | Community Health Centers Inc. | 14 N 100 E, 2 Clinica De Buena Salud, Brigham City, UT 84302-2170 |
| Larry D Terry | Optometry | 34 S Main St, Brigham City, UT 84302-2527 | |
| Stephan Michael Moss | Nurse Practitioner | Brigham Medical Clinic, Inc. | 600 W Hospital Rd, Brigham City, UT 84302-3006 |
| Find all physicians in zip 84302 | |||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BRIGHAM CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Rene Alissa Mussell.
| 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.