Fine Song (NPI# 1093000556, PAC ID# 8628201548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093000556 |
| PAC ID by PECOS | 8628201548 |
| Professional Enrollment ID | I20170403000743 |
| Full Name | Fine Song |
| Organization Legal Name | BLACK RIVER MEMORIAL HOSPITAL INC |
| Address |
711 W Adams St Black River Falls WI 54615-9108 |
| Phone Number | 7152845361 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3173431178 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521333 | BLACK RIVER MEMORIAL HOSPITAL |
| 340030 | DUKE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 711 W Adams St, Black River Falls, WI 54615-9108 | 7152845361 | BLACK RIVER MEMORIAL HOSPITAL INC |
| 300 Meadowmont Village Cir, Suite 311, Chapel Hill, NC 27517-7518 | 9199678052 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Harris Smith Ob/gyn, 3000 Meadowmont Village Circle Suite 311, Chapel Hill, NC 27517-7518 | 9199678052 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 2100 Erwin Rd, Durham, NC 27705-3941 | 9196848111 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Organization Legal Name | BLACK RIVER MEMORIAL HOSPITAL INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Mueller | Certified Registered Nurse Anesthetist (crna) | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Dennis W Stalsberg | Certified Registered Nurse Anesthetist (crna) | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Tamara A Insteness | Nurse Practitioner | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Carol A Martin | Family Medicine | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Esteban E Miller | Family Medicine | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Jennifer C Hanson | Nurse Practitioner | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Gregory M Eddy | Certified Registered Nurse Anesthetist (crna) | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Kelli I Casper | Nurse Practitioner | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Darin C Lash | Physician Assistant | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Mary G Dudley | Certified Registered Nurse Anesthetist (crna) | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Street Address |
711 W ADAMS ST |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip | 54615-9108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Mueller | Certified Registered Nurse Anesthetist (crna) | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Dennis W Stalsberg | Certified Registered Nurse Anesthetist (crna) | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Tamara A Insteness | Nurse Practitioner | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Carol A Martin | Family Medicine | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Esteban E Miller | Family Medicine | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Jennifer C Hanson | Nurse Practitioner | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Gregory M Eddy | Certified Registered Nurse Anesthetist (crna) | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Kelli I Casper | Nurse Practitioner | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Darin C Lash | Physician Assistant | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Mary G Dudley | Certified Registered Nurse Anesthetist (crna) | Black River Memorial Hospital Inc | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon P Stowe | Chiropractic | Jordan Chiropractic Clinic S.c. | 438 N Water St, Black River Falls, WI 54615-1005 |
| James D Jessen | Chiropractic | Jordan Chiropractic Clinic S.c. | 438 N Water St, Black River Falls, WI 54615-1005 |
| John M Jordan | Chiropractic | Jordan Chiropractic Clinic S.c. | 438 N Water St, Black River Falls, WI 54615-1005 |
| Bradley C Garson | Clinical Social Worker | 54 N 1st St, Black River Falls, WI 54615-1311 | |
| Patricia A Jacobson | Nurse Practitioner | 502 Main St, Black River Falls, WI 54615-1648 | |
| Todd Alan Volk | Chiropractic | Black River Chiropractic Clinic Sc | 126 S 2nd St, Black River Falls, WI 54615-1726 |
| Chanelle R Holliday | Chiropractic | Black River Chiropractic Clinic Sc | 126 S 2nd St, Black River Falls, WI 54615-1726 |
| Joel J Gartner | Chiropractic | Advanced Chiropractic and Laser Centers Inc | 3 E Main St, Black River Falls, WI 54615-1750 |
| Angela Arletta Ahrens | Chiropractic | Advanced Chiropractic and Laser Centers Inc | 3 E Main St, Black River Falls, WI 54615-1750 |
| Mark A Hanson | Optometry | Art of Optometry Ltd | 127 Main St, Black River Falls, WI 54615-1769 |
| Find all physicians in zip 54615 | |||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BLACK RIVER FALLS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Fine Song.
| 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.