Gary A Tennison (NPI# 1518946813, PAC ID# 9739195173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1518946813 |
| PAC ID by PECOS | 9739195173 |
| Professional Enrollment ID | I20060222000742 |
| Full Name | Gary A Tennison |
| Organization Legal Name | CRAWFORD HOSPITAL DISTRICT |
| Address |
1101 N Allen St Cmh Rural Health Robinson IL 62454-1168 |
| Phone Number | 6185443699 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7719898071 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141343 | CRAWFORD MEMORIAL HOSPITAL |
| 141344 | LAWRENCE COUNTY MEMORIAL HOSPITAL |
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| 150042 | GOOD SAMARITAN HOSPITAL |
| 140147 | RICHLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1101 N Allen St, Cmh Rural Health, Robinson, IL 62454-1168 | 6185443699 | CRAWFORD HOSPITAL DISTRICT |
| 1101 N Allen St, Robinson, IL 62454-1168 | 6185443699 | 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 |
| Patricia Jean Burbank | Nurse Practitioner | Crawford Hospital District | 209 E Grand Prairie, Palestine, IL 62451-1254 |
| 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 |
| Street Address |
1101 N ALLEN ST CMH RURAL HEALTH |
| City | ROBINSON |
| State | IL |
| Zip | 62454-1168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Gene Phillippe | Family Practice | Crawford Hospital District | 1101 N Allen St, Cmh Rural Health, Robinson, IL 62454-1168 |
| Vickie L Becker | Internal Medicine | Crawford Hospital District | 1101 N Allen St, Cmh Rural Health, Robinson, IL 62454-1168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy L M Wieties | Optometry | Advanced Wellness Eyecare LLC | 905 W Mefford St, Robinson, IL 62454-1065 |
| Kimberly D Alumbaugh | Optometry | Advanced Wellness Eyecare LLC | 905 W Mefford St, Robinson, IL 62454-1065 |
| William H Bedwell | Optometry | 905 W Mefford St, Robinson, IL 62454-1065 | |
| Eric M Potts | Physician Assistant | Good Samaritan Hospital Physician Services Inc | 1000 N Allen St, Robinson, IL 62454-1114 |
| Howard E Feldman | Orthopedic Surgery | Good Samaritan Hospital Physician Services Inc | 1000 N Allen St, Robinson, IL 62454-1114 |
| David D Rotman | Family Medicine | 1000 N Allen St, Robinson, IL 62454-1114 | |
| Ralph Y Lathrop | Podiatry | 1106 N Allen St, Robinson, IL 62454-1116 | |
| Michael W Elliott Ii | Family Medicine | 807 W Craft St, Robinson, IL 62454-1137 | |
| Todd A Hoagland | Chiropractic | 1004 B N Allen St, Robinson, IL 62454-1145 | |
| William L Devault | Orthopedic Surgery | Crawford Hospital District | 1000 N Allen St C, Cmh Bone and Joint Center, Robinson, IL 62454-1167 |
| Find all physicians in zip 62454 | |||
| City | ROBINSON |
| Zip Code | 62454 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | ROBINSON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Gary A Tennison.
| 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.