Vicki L Wooll (NPI# 1922053172, PAC ID# 3577573070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922053172 |
| PAC ID by PECOS | 3577573070 |
| Professional Enrollment ID | I20060427000735 |
| Full Name | Vicki L Wooll |
| Organization Legal Name | BROOK MEDICAL PLLC |
| Address |
1281 E Iron Eagle Dr Eagle ID 83616-6599 |
| Phone Number | 2089395535 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1759484512 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1281 E Iron Eagle Dr, Eagle, ID 83616-6599 | 2089395535 | BROOK MEDICAL PLLC |
| Organization Legal Name | BROOK MEDICAL PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa D Inzer Castillo | Physician Assistant | Brook Medical Pllc | 1281 E Iron Eagle Dr, Eagle, ID 83616-6599 |
| Street Address |
1281 E IRON EAGLE DR |
| City | EAGLE |
| State | ID |
| Zip | 83616-6599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa D Inzer Castillo | Physician Assistant | Brook Medical Pllc | 1281 E Iron Eagle Dr, Eagle, ID 83616-6599 |
| Iris J Miller Gallegos | Clinical Social Worker | 1281 E Iron Eagle Dr, Eagle, ID 83616-6599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn H Nord | Chiropractic | 5337 W State St, Eagle, ID 83616-4313 | |
| Kari L Green | Physical Therapy | Therapeutic Associates Inc | 12 N Fisher Park Way, Suite 100, Eagle, ID 83616-4704 |
| Nicole L Barnes | Physical Therapy | Therapeutic Associates Inc | 12 N Fisher Park Way, Suite 100, Eagle, ID 83616-4704 |
| Mark L Moss | Physical Therapy | Therapeutic Associates Inc | 12 N Fisher Park Way, Suite 100, Eagle, ID 83616-4704 |
| Allison Andrews Boldridge | Physical Therapy | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Ryan D Huber | Optometry | Ryan D. Huber, O.d., P.a. | 27 N Fisher Park Way, Eagle, ID 83616-4796 |
| Cassandre Lynn Moore | Clinical Social Worker | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Jared W Simonson | Physical Therapy | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Danielle Marie Wallner | Qualified Speech Language Pathologist | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Alan Glen Neighbors | Clinical Social Worker | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Find all physicians in zip 83616 | |||
| City | EAGLE |
| Zip Code | 83616 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAGLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Vicki L Wooll.
| 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.