Chitchawal Sahatevasukont (NPI# 1053661074, PAC ID# 9436395944) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053661074 |
| PAC ID by PECOS | 9436395944 |
| Professional Enrollment ID | I20140725001915 |
| Full Name | Chitchawal Sahatevasukont |
| Organization Legal Name | NORTHEAST IOWA MENTAL HEALTH CENTER |
| Address |
36 S Frederick Oelwein IA 50662-2305 |
| Phone Number | 5632835774 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355230475 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161338 | MERCY HOSPITAL OF FRANCISCAN SISTERS-OELWEIN |
| Address | Phone | Organization |
|---|---|---|
| 905 Montgomery St, Decorah, IA 52101-2325 | 5633823649 | NORTHEAST IOWA MENTAL HEALTH CENTER |
| 36 S Frederick, Oelwein, IA 50662-2305 | 5632835774 | NORTHEAST IOWA MENTAL HEALTH CENTER |
| Organization Legal Name | NORTHEAST IOWA MENTAL HEALTH CENTER |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Bernard Deutsch | Clinical Social Worker | Northeast Iowa Mental Health Center | 905 Montgomery St, Decorah, IA 52101-2325 |
| Vithalji J Modha | Psychiatry | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Stephanie Grusy Garcia-prats | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Karla J Wolfs | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Trevor Dismore | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Kathryn Elizabeth Sieck | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Jerri L Harlen | Nurse Practitioner | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Diana Jean Mount | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Bhasker J Dave | Psychiatry | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Street Address |
36 S FREDERICK |
| City | OELWEIN |
| State | IA |
| Zip | 50662-2305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vithalji J Modha | Psychiatry | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Stephanie Grusy Garcia-prats | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Karla J Wolfs | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Trevor Dismore | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Kathryn Elizabeth Sieck | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Jerri L Harlen | Nurse Practitioner | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Diana Jean Mount | Clinical Social Worker | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Bhasker J Dave | Psychiatry | Northeast Iowa Mental Health Center | 36 S Frederick, Oelwein, IA 50662-2305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy D Gearhart | Chiropractic | Gearhart Chiropractic PC | 14 8th Ave Ne, Oelwein Chiropractic Clinic, Oelwein, IA 50662-1938 |
| Brianne C Byerly | Occupational Therapy | Performance Rehab LLC | 204 E Charles St, Performance Rehab, Oelwein, IA 50662-1940 |
| Taylor L Coyle | Physical Therapy | Performance Rehab LLC | 204 E Charles St, Performance Rehab, Oelwein, IA 50662-1940 |
| Rachel A Kleitsch | Physical Therapy | Performance Rehab LLC | 204 E Charles St, Performance Rehab, Oelwein, IA 50662-1940 |
| Kyla Danielle Peak | Physical Therapy | Performance Rehab LLC | 204 E Charles St, Performance Rehab, Oelwein, IA 50662-1940 |
| Todd Anthony Bradley | Physical Therapy | Performance Rehab LLC | 204 E Charles St, Performance Rehab, Oelwein, IA 50662-1940 |
| Sara Katherine Hennessy | Occupational Therapy | Performance Rehab LLC | 204 E Charles St, Performance Rehab, Oelwein, IA 50662-1940 |
| Bradley J Brown | Chiropractic | 901 E Charles St, Oelwein, IA 50662-1951 | |
| Sara A Berns | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 124 1st Ave Se, Family Medicine Oelwein, Oelwein, IA 50662-2321 |
| Trisha Ann Kress | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 124 1st Ave Se, Family Medicine Oelwein, Oelwein, IA 50662-2321 |
| Find all physicians in zip 50662 | |||
| City | OELWEIN |
| Zip Code | 50662 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OELWEIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Chitchawal Sahatevasukont.
| 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.