Amanda Jo Farmer (NPI# 1912349531, PAC ID# 7719299957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912349531 |
| PAC ID by PECOS | 7719299957 |
| Professional Enrollment ID | I20190204000746 |
| Full Name | Amanda Jo Farmer |
| Organization Legal Name | BOZEMAN HEALTH BIG SKY MEDICAL CENTER LLC |
| Address |
334 Town Ctr Ave Big Sky MT 59716 |
| Phone Number | 4069956995 |
| Gender | F |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7315256872 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270089 | BIG SKY MEDICAL CENTER |
| 270057 | BOZEMAN HEALTH DEACONESS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 334 Town Ctr Ave, Big Sky, MT 59716 | 4069956995 | BOZEMAN HEALTH BIG SKY MEDICAL CENTER LLC |
| Organization Legal Name | BOZEMAN HEALTH BIG SKY MEDICAL CENTER LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Clair | Family Medicine | Bozeman Health Big Sky Medical Center LLC | 334 Town Ctr Ave, Big Sky, MT 59716 |
| Philip A Hess | Family Medicine | Bozeman Health Big Sky Medical Center LLC | 334 Town Ctr Ave, Big Sky, MT 59716 |
| Charles O Allen | Emergency Medicine | Bozeman Health Big Sky Medical Center LLC | 334 Town Ctr Ave, Big Sky, MT 59716 |
| Kirk E Weber | Family Medicine | Bozeman Health Big Sky Medical Center LLC | 334 Town Ctr Ave, Big Sky, MT 59716 |
| Street Address |
334 TOWN CTR AVE |
| City | BIG SKY |
| State | MT |
| Zip | 59716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Clair | Family Medicine | Bozeman Health Big Sky Medical Center LLC | 334 Town Ctr Ave, Big Sky, MT 59716 |
| Philip A Hess | Family Medicine | Bozeman Health Big Sky Medical Center LLC | 334 Town Ctr Ave, Big Sky, MT 59716 |
| Charles O Allen | Emergency Medicine | Bozeman Health Big Sky Medical Center LLC | 334 Town Ctr Ave, Big Sky, MT 59716 |
| Jennifer J Hamel | Physical Therapy | Lone Peak Physical Therapy Inc | 334 Town Ctr Ave, Big Sky, MT 59716-0010 |
| Kirk E Weber | Family Medicine | Bozeman Health Big Sky Medical Center LLC | 334 Town Ctr Ave, Big Sky, MT 59716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey A Daniels | Internal Medicine | Bozeman Health Convenience Care LLC | 100 Beaverhead Dr, Big Sky, MT 59716 |
| Michael Vannatta | Physical Therapy | Lone Peak Physical Therapy Inc | 32 Market Pl, Big Sky, MT 59716-0010 |
| City | BIG SKY |
| Zip Code | 59716 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BIG SKY + PHYSICIAN ASSISTANT |
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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.