Patricia Jean Burbank (NPI# 1558345827, PAC ID# 8628030400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1558345827 |
PAC ID by PECOS | 8628030400 |
Professional Enrollment ID | I20041103000576 |
Full Name | Patricia Jean Burbank |
Organization Legal Name | CRAWFORD HOSPITAL DISTRICT |
Address |
209 E Grand Prairie Palestine IL 62451-1254 |
Phone Number | 6185862153 |
Gender | F |
Credential | NP |
Graduation Year | 2003 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7719898071 |
Number of Group Practice Members | 65 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
141343 | CRAWFORD MEMORIAL HOSPITAL |
150042 | GOOD SAMARITAN HOSPITAL |
Address | Phone | Organization |
---|---|---|
209 E Grand Prairie, Palestine, IL 62451-1254 | 6185862153 | CRAWFORD HOSPITAL DISTRICT |
Organization Legal Name | CRAWFORD HOSPITAL DISTRICT |
Physicians | 24 |
Name | Specialty | Organization | Address |
---|---|---|---|
William L Devault | Orthopedic Surgery | Crawford Hospital District | 1000 N Allen St C, Cmh Bone and Joint Center, Robinson, IL 62454-1167 |
John D Rogers | Internal Medicine | Crawford Hospital District | 1000 N Allen St, Robinson, IL 62454-1167 |
Michael Gene Phillippe | Family Practice | Crawford Hospital District | 1101 N Allen St, Cmh Rural Health, Robinson, IL 62454-1168 |
Preston S Reilly | General Surgery | Crawford Hospital District | 1000 N Allen St, Robinson, IL 62454-1167 |
Joseph Aaron Noah Grazaitis | Certified Registered Nurse Anesthetist (crna) | Crawford Hospital District | 1000 N Allen St, Robinson, IL 62454-1167 |
Carol J Bergbower | Certified Registered Nurse Anesthetist (crna) | Crawford Hospital District | 1000 N Allen St, Robinson, IL 62454-1167 |
Jenna N Hardiman | Nurse Practitioner | Crawford Hospital District | 1000 N Allen St C, Cmh Bone and Joint Center, Robinson, IL 62454-1167 |
Joseph L Kunzelman | General Surgery | Crawford Hospital District | 1000 N Allen St C, Cmh Bone and Joint Center, Robinson, IL 62454-1167 |
Kyle A Hardiman | Certified Registered Nurse Anesthetist (crna) | Crawford Hospital District | 1000 N Allen St C, Cmh Bone and Joint Center, Robinson, IL 62454-1167 |
Batuk N Ramolia | Emergency Medicine | Crawford Hospital District | 1000 N Allen St, Robinson, IL 62454-1167 |
Street Address |
209 E GRAND PRAIRIE |
City | PALESTINE |
State | IL |
Zip | 62451-1254 |
Name | Specialty | Organization | Address |
---|---|---|---|
Terry D Thompson | Chiropractic | 117 S Main St, Palestine, IL 62451-1265 |
City | PALESTINE |
Zip Code | 62451 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PALESTINE + NURSE PRACTITIONER |
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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.