Lyle D Pahnke (NPI# 1770538225, PAC ID# 9931162302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1770538225 |
| PAC ID by PECOS | 9931162302 |
| Professional Enrollment ID | I20041105001094 |
| Full Name | Lyle D Pahnke |
| Organization Legal Name | NEUROMUSCULAR ORTHOPAEDIC INSTITUTE LTD |
| Address |
302 Broadway St Mount Vernon IL 62864-5116 |
| Phone Number | 6182424750 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1970 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517879232 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140294 | CROSSROADS COMMUNITY HOSPITAL |
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 302 Broadway St, Mount Vernon, IL 62864-5116 | 6182424750 | NEUROMUSCULAR ORTHOPAEDIC INSTITUTE LTD |
| Organization Legal Name | NEUROMUSCULAR ORTHOPAEDIC INSTITUTE LTD |
| Physicians | 1 |
| Street Address |
302 BROADWAY ST |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-5116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Find all physicians in zip 62864 | |||
| City | MOUNT VERNON |
| Zip Code | 62864 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOUNT VERNON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lyle D Pahnke.
| 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.