Jennifer Knutson (NPI# 1174093850, PAC ID# 8325371370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174093850 |
| PAC ID by PECOS | 8325371370 |
| Professional Enrollment ID | I20190606002651 |
| Full Name | Jennifer Knutson |
| Organization Legal Name | BRONSON LAKEVIEW HOSPITAL |
| Address |
319 W Delaware St Decatur MI 49045-1106 |
| Phone Number | 2693418536 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9032008495 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231332 | BRONSON LAKEVIEW HOSPITAL |
| 230017 | BRONSON METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 319 W Delaware St, Decatur, MI 49045-1106 | 2693418536 | BRONSON LAKEVIEW HOSPITAL |
| Organization Legal Name | BRONSON LAKEVIEW HOSPITAL |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Teske | Physician Assistant | Bronson Lakeview Hospital | 451 Health Pkwy, Paw Paw, MI 49079-8242 |
| Gerald M Bush | Physician Assistant | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
| James Francis Carow | Family Medicine | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
| Laura C Ford | Nurse Practitioner | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
| Hariton H Kousourou | Internal Medicine | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
| Lisa R Woodruff | Nurse Practitioner | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
| Nadeem M Mirza | Psychiatry | Bronson Lakeview Hospital | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Marisa Leighton | Nurse Practitioner | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
| Jenna T Ruple | Family Medicine | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
| Sara B Bailey | Nurse Practitioner | Bronson Lakeview Hospital | 451 Health Pkwy E, Bronson Lakeview Pediatrics, Paw Paw, MI 49079-8242 |
| Street Address |
319 W DELAWARE ST |
| City | DECATUR |
| State | MI |
| Zip | 49045-1106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pearce J Dupuis | Family Medicine | Bronson Lakeview Hospital | 319 W Delaware St, Decatur, MI 49045-1106 |
| Connie L Harris | Nurse Practitioner | Bronson Lakeview Hospital | 319 W Delaware St, Decatur, MI 49045-1106 |
| City | DECATUR |
| Zip Code | 49045 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DECATUR + 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.