Fallon A Clancy (NPI# 1023580461, PAC ID# 1052650843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1023580461 |
| PAC ID by PECOS | 1052650843 |
| Professional Enrollment ID | I20190221001658 |
| Full Name | Fallon A Clancy |
| Organization Legal Name | OLYMPIC MEDICAL PHYSICIANS |
| Address |
907 Georgiana St Port Angeles WA 98362-3911 |
| Phone Number | 3605650999 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537172358 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500072 | OLYMPIC MEDICAL CENTER |
| 501323 | JEFFERSON HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 433 E 8th St, Port Angeles, WA 98362-6219 | 3605650999 | OLYMPIC MEDICAL PHYSICIANS |
| 907 Georgiana St, Port Angeles, WA 98362-3911 | 3605650999 | OLYMPIC MEDICAL PHYSICIANS |
| Organization Legal Name | OLYMPIC MEDICAL PHYSICIANS |
| Physicians | 131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jinlin W Brendel | Family Medicine | Olympic Medical Physicians | 433 E 8th St, Port Angeles, WA 98362-6219 |
| Kevin P Chong | Pulmonary Disease | Olympic Medical Physicians | 1112 Caroline St, Port Angeles, WA 98362-4204 |
| Caren J Ellington | Nurse Practitioner | Olympic Medical Physicians | 840 N 5th Ave, Suite 1400, Sequim, WA 98382-3045 |
| Lindsay A Hoffman | Family Medicine | Olympic Medical Physicians | 800 N 5th Ave, Suite 101, Sequim, WA 98382-3045 |
| Michael Mcguire | Nurse Practitioner | Olympic Medical Physicians | 303 W 8th St, Port Angeles, WA 98362-5904 |
| Charene M Alderman Mcelroy | Nurse Practitioner | Olympic Medical Physicians | 844 N 5th Ave, Sequim, WA 98382-3045 |
| Michael A Epler | Family Practice | Olympic Medical Physicians | 923 Georgiana St, Port Angeles, WA 98362-3911 |
| Matthew W Kiddle | Physician Assistant | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Michael R Ellen | Urology | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Robin I Sterin | Physician Assistant | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Street Address |
907 GEORGIANA ST |
| City | PORT ANGELES |
| State | WA |
| Zip | 98362-3911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Ellen | Urology | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Angela M Jackson | Physician Assistant | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Angela N Larson | Family Medicine | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Jimmy Y Chung | General Surgery | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Paul Larsen | Physician Assistant | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Jerome R Oakes | Family Medicine | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Dustin L Larson | Hand Surgery | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Lee A Baker | Nurse Practitioner | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Robert M B Barnes | Physician Assistant | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Stephenie Bennett | Physician Assistant | Olympic Medical Physicians | 907 Georgiana St, Port Angeles, WA 98362-3911 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Kate Ballou | Nurse Practitioner | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Benjamin Robert Curran | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Summer Michele Scavone | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Jennifer L Wilson | Physician Assistant | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Katrina C Weller | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Ned J Hammar | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Michael Aaron Wauters | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Bradley K Rodell | Physician Assistant | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Johannah L Hay | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Susan H Roberts | Nurse Practitioner | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Find all physicians in zip 98362 | |||
| City | PORT ANGELES |
| Zip Code | 98362 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORT ANGELES + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Fallon A Clancy.
| 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.