Kurt Fossum (NPI# 1295793370, PAC ID# 8820255185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295793370 |
| PAC ID by PECOS | 8820255185 |
| Professional Enrollment ID | I20160629001797 |
| Full Name | Kurt Fossum |
| Organization Legal Name | YUCAB MANAGEMENT LLC |
| Address |
13857 Us Hwy 87 W La Vernia TX 78121-5919 |
| Phone Number | 8307792780 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981827417 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 | 8307792780 | YUCAB MANAGEMENT LLC |
| 13857 Us Hwy 87 W, Connally Memorial Urgent Care, La Vernia, TX 78121-5919 | 8307792780 | YUCAB MANAGEMENT LLC |
| Organization Legal Name | YUCAB MANAGEMENT LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Nesbitt | Physician Assistant | Yucab Management LLC | 13857 Us Hwy 87 W, Connally Memorial Urgent Care, La Vernia, TX 78121-5919 |
| James A Ruley | Physician Assistant | Yucab Management LLC | 13857 Us Hwy 87 W, Connally Memorial Urgent Care, La Vernia, TX 78121-5919 |
| Street Address |
13857 US HWY 87 W |
| City | LA VERNIA |
| State | TX |
| Zip | 78121-5919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia C Lucio | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Roderick David Ekmark | Family Medicine | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Marlene Herrera | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Meghan B Wilson | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Juanita Solis | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Heather R Grohman | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Michael E Nesbitt | Physician Assistant | Yucab Management LLC | 13857 Us Hwy 87 W, Connally Memorial Urgent Care, La Vernia, TX 78121-5919 |
| James A Ruley | Physician Assistant | Yucab Management LLC | 13857 Us Hwy 87 W, Connally Memorial Urgent Care, La Vernia, TX 78121-5919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Bridges | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 13857 Us, Suite 102, La Vernia, TX 78121 |
| Kim M Ross | Dermatology | 309 Silverado, La Vernia, TX 78121-4948 |
| City | LA VERNIA |
| Zip Code | 78121 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LA VERNIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kurt Fossum.
| 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.