Jack W Wenkel (NPI# 1891946877, PAC ID# 2769549021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1891946877 |
| PAC ID by PECOS | 2769549021 |
| Professional Enrollment ID | I20090401000098 |
| Full Name | Jack W Wenkel |
| Organization Legal Name | FULTON MEDICAL CENTER LLC |
| Address |
10 S Hospital Dr Callaway Community Hospital Fulton MO 65251-2510 |
| Phone Number | 5736423376 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7810211398 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260209 | FULTON MEDICAL CENTER LLC |
| 260141 | UNIVERSITY OF MISSOURI HOSPITAL & CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 | 5736423376 | FULTON MEDICAL CENTER LLC |
| 850 N Hospital Dr F, Fulton Medical Center, Fulton, MO 65251-2535 | 5736425338 | FULTON MEDICAL CENTER LLC |
| Organization Legal Name | FULTON MEDICAL CENTER LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William G Wall | Certified Registered Nurse Anesthetist | Fulton Medical Center LLC | 850 N Hospital Dr F, Fulton Medical Center, Fulton, MO 65251-2535 |
| Elizabeth A Lambird | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Philip R Brackett | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Stanley R Horner | Allergy/immunology | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Ravi K Kotha | Emergency Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Matthew R Mcclure | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Sudheer C Atluri | Emergency Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Street Address |
10 S HOSPITAL DR CALLAWAY COMMUNITY HOSPITAL |
| City | FULTON |
| State | MO |
| Zip | 65251-2510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarmistha Bhalla | Psychiatry | Refound Psychiatry Services LLC | 10 S Hospital Dr, Fulton, MO 65251-2510 |
| Elizabeth A Lambird | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Syed Imam | Psychiatry | Refound Psychiatry Services LLC | 10 S Hospital Dr, Fulton, MO 65251-2510 |
| Philip R Brackett | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Stanley R Horner | Allergy/immunology | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Ravi K Kotha | Emergency Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Matthew R Mcclure | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Sudheer C Atluri | Emergency Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Jerry White | Family Practice | Bigeye Emergency Physicians LLC | 10 S Hospital Dr, Fulton, MO 65251-2513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian M Hoselton | Chiropractic | 710 S Business, Suite 54, Fulton, MO 65251-1403 | |
| Adam Kolin Kramer | Chiropractic | Koelling Family Chiropractic PC | 621 Commons Dr, Fulton, MO 65251-1489 |
| Bryce D Koelling | Chiropractic | Koelling Family Chiropractic PC | 621 Commons Dr, Fulton, MO 65251-1489 |
| Sharon K Batek | Optometry | 405 Court St, Fulton, MO 65251-1724 | |
| Brandy Baczwaski | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Lee Ann Mcvay | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Alicia Loraine Pardee | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Jessica Ann Peterson | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Kayla Collier | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Jennie L Brooks | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Find all physicians in zip 65251 | |||
| City | FULTON |
| Zip Code | 65251 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FULTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jack W Wenkel.
| 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.