Lynelle A Fossum (NPI# 1205985587, PAC ID# 2668575895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205985587 |
| PAC ID by PECOS | 2668575895 |
| Professional Enrollment ID | I20070308000490 |
| Full Name | Lynelle A Fossum |
| Organization Legal Name | COUNTY OF LOGAN |
| Address |
212 Maple Ave Oakley KS 67748-1220 |
| Phone Number | 7856723261 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719890904 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171326 | LOGAN COUNTY HOSPITAL |
| 170013 | HAYS MEDICAL CENTER |
| 171362 | CITIZENS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 212 Maple Ave, Oakley, KS 67748-1220 | 7856723261 | COUNTY OF LOGAN |
| Organization Legal Name | COUNTY OF LOGAN |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Hinojosa | Family Medicine | County of Logan | 212 Maple Ave, Oakley, KS 67748-1220 |
| Celeste J Rains | Family Medicine | County of Logan | 211 Cherry Ave, Oakley, KS 67748-1218 |
| John J Herscher | Family Medicine | County of Logan | 212 Maple Ave, Oakley, KS 67748-1220 |
| Steven D Robinson | Physician Assistant | County of Logan | 212 Maple Ave, Oakley, KS 67748-1220 |
| Subir Ray | General Surgery | County of Logan | 211 Cherry Ave, Oakley, KS 67748-1218 |
| Street Address |
212 MAPLE AVE |
| City | OAKLEY |
| State | KS |
| Zip | 67748-1220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Hinojosa | Family Medicine | County of Logan | 212 Maple Ave, Oakley, KS 67748-1220 |
| John J Herscher | Family Medicine | County of Logan | 212 Maple Ave, Oakley, KS 67748-1220 |
| Steven D Robinson | Physician Assistant | County of Logan | 212 Maple Ave, Oakley, KS 67748-1220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celeste J Rains | Family Medicine | County of Logan | 211 Cherry Ave, Oakley, KS 67748-1218 |
| Subir Ray | General Surgery | County of Logan | 211 Cherry Ave, Oakley, KS 67748-1218 |
| Levi Randall Younkin | Chiropractic | 216 Ctr Ave, Oakley, KS 67748-1714 |
| City | OAKLEY |
| Zip Code | 67748 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OAKLEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lynelle A Fossum.
| 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.