Gary L Favero (NPI# 1770680878, PAC ID# 9133118870) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1770680878 |
| PAC ID by PECOS | 9133118870 |
| Professional Enrollment ID | I20040511000085 |
| Full Name | Gary L Favero |
| Address |
109 S Water St Suite 2 Ellensburg WA 98926-3061 |
| Gender | M |
| Credential | DC |
| Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
| Graduation Year | 1998 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501333 | KITTITAS VALLEY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 109 S Water St, Suite 2, Ellensburg, WA 98926-3061 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Street Address |
109 S WATER ST SUITE 2 |
| City | ELLENSBURG |
| State | WA |
| Zip | 98926-3061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dan Mark Keffeler | Chiropractic | Ellensburg Chiropractic,ps | 109 S Water St, Suite 2, Ellensburg, WA 98926-3061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myron Harold Linder | Chiropractic | 1011 N Alder St, 1 Linder Chiropractic Center, Ellensburg, WA 98926-2699 | |
| Sandra Lou Linder | Chiropractic | 1011 N Alder St, Ellensburg, WA 98926-2699 | |
| Paula E Hagemeyer | Occupational Therapy | 213 W 4th St, Kittitas Occupational Therapy Services, Ellensburg, WA 98926-2855 | |
| Rebecca L Palmer-overmiller | Clinical Social Worker | Comprehensive Healthcare | 707 N Pearl St, Suite E, Ellensburg, WA 98926-2938 |
| Carol A Gilliom | Clinical Social Worker | Comprehensive Healthcare | 707 N Pearl St, Suite E, Ellensburg, WA 98926-2938 |
| Andrea Tierney | Physical Therapy | Argonaut Peak Physical Therapy, Inc. Ps | 722 E University Way, Ellensburg, WA 98926-2947 |
| Jonathan T Suttles | Physical Therapy | Argonaut Peak Physical Therapy, Inc. Ps | 722 E University Way, Ellensburg, WA 98926-2947 |
| Lisa Marie Godfrey Martin | Psychologist, Clinical | Valley Psychological Services | 206 W 1st Ave, Ellensburg, WA 98926-3002 |
| Paul Reppas | Psychologist, Clinical | Valley Psychological Services | 206 W 1st Ave, Ellensburg, WA 98926-3002 |
| Joseph C Mccarty Jr. | Psychologist, Clinical | Valley Psychological Services | 206 W 1st Ave, Ellensburg, WA 98926-3002 |
| Find all physicians in zip 98926 | |||
| City | ELLENSBURG |
| Zip Code | 98926 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ELLENSBURG + CHIROPRACTIC |
Please comment or provide details below to improve the information on Gary L Favero.
| 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.