Elizabeth A Ankeny (NPI# 1154345759, PAC ID# 0042275422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1154345759 |
PAC ID by PECOS | 0042275422 |
Professional Enrollment ID | I20041124000604 |
Full Name | Elizabeth A Ankeny |
Organization Legal Name | GLACIAL RIDGE HOSPITAL DISTRICT |
Address |
111 Pleasant Ave N Brooten MN 56316-4715 |
Phone Number | 3203462272 |
Gender | F |
Credential | NP |
Graduation Year | 2004 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5294789194 |
Number of Group Practice Members | 33 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
241376 | GLACIAL RIDGE HOSPITAL |
Address | Phone | Organization |
---|---|---|
111 Pleasant Ave N, Brooten, MN 56316-4715 | 3203462272 | GLACIAL RIDGE HOSPITAL DISTRICT |
417 Franklin St S, Glenwood, MN 56334-1518 | 3206345157 | GLACIAL RIDGE HOSPITAL DISTRICT |
Organization Legal Name | GLACIAL RIDGE HOSPITAL DISTRICT |
Physicians | 30 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laura Davis Huggins | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
John Andrew Dvorak | Ophthalmology | Glacial Ridge Hospital District | 16 Minnesota Ave W, Suite 102, Glenwood, MN 56334-1558 |
Joseph A Schneiderhan | Optometry | Glacial Ridge Hospital District | 10 4th Ave Se, Glenwood, MN 56334-1898 |
Rwanda D Campbell | Obstetrics/gynecology | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
Joan M Lunzer | Internal Medicine | Glacial Ridge Hospital District | 10 4th Ave Se, Glenwood, MN 56334-1898 |
Rebecca Meinecke | Physician Assistant | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
David Edward Polzin | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
Thomas E Pahl | Physician Assistant | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
Elizabeth Z Colsen | General Surgery | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
Tanya Marcy Freske | Nurse Practitioner | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
Street Address |
111 PLEASANT AVE N |
City | BROOTEN |
State | MN |
Zip | 56316-4715 |
City | BROOTEN |
Zip Code | 56316 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BROOTEN + NURSE PRACTITIONER |
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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.