Travis James Moncrief (NPI# 1679831648, PAC ID# 4688970155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1679831648 |
| PAC ID by PECOS | 4688970155 |
| Professional Enrollment ID | I20171012000854 |
| Full Name | Travis James Moncrief |
| Organization Legal Name | ST MARYS HOSPITAL OF SUPERIOR |
| Address |
3500 Tower Ave Superior WI 54880-5335 |
| Phone Number | 7153928281 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 8628964228 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240019 | ESSENTIA HEALTH DULUTH |
| 240084 | ESSENTIA HEALTH VIRGINIA |
| 240002 | ESSENTIA HEALTH ST MARY'S MEDICAL CENTER |
| 521329 | ST MARYS HOSPITAL SUPERIOR |
| 241340 | ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 400 E 3rd St, Duluth, MN 55805-1951 | 2187868364 | THE DULUTH CLINIC LTD |
| 3500 Tower Ave, Superior, WI 54880-5335 | 7153928281 | ST MARYS HOSPITAL OF SUPERIOR |
| 901 9th St N, Virginia, MN 55792-2325 | 2187487480 | THE DULUTH CLINIC LTD |
| Organization Legal Name | ST MARYS HOSPITAL OF SUPERIOR |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darren William Perttu | General Surgery | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Matthew J Luedke | Family Medicine | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Vincentiu Andrei | General Surgery | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| David Lee Brucher | Physician Assistant | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Michael John Sterns | Family Medicine | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Jean Elise Hoyer | Family Medicine | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Steven Joseph Squillace | Gastroenterology | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Bruce Edward Bray | Family Medicine | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| John R Mckevett | Family Medicine | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Janet Kay Cismoski Martens | Nurse Practitioner | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Street Address |
3500 TOWER AVE |
| City | SUPERIOR |
| State | WI |
| Zip | 54880-5335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dane Mcgee Ingebrigtson | Anesthesiology | The Duluth Clinic Ltd | 3500 Tower Ave, Superior, WI 54880-5335 |
| Michael John Sterns | Family Medicine | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Jean Elise Hoyer | Family Medicine | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Steven Joseph Squillace | Gastroenterology | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Charles K Bertel | General Surgery | The Duluth Clinic Ltd | 3500 Tower Ave, Superior, WI 54880-5335 |
| Erika Lynn Carrier | Physician Assistant | The Duluth Clinic Ltd | 3500 Tower Ave, Superior, WI 54880-5335 |
| Mary Lee Vitek | Nurse Practitioner | The Duluth Clinic Ltd | 3500 Tower Ave, Superior, WI 54880-5335 |
| Anne Elisabeth Zbaracki | Hospitalist | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Joseph Van Richards | Family Medicine | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| David Bruce Economy | Certified Registered Nurse Anesthetist (crna) | The Duluth Clinic Ltd | 3500 Tower Ave, Superior, WI 54880-5335 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Reedstrom | Optometry | James A. Reedstrom, O.d., Ltd. | 1325 Tower Ave, Superior, WI 54880-1504 |
| Gregory E Luke | Chiropractic | 916 Hammond Ave, Suite 100, Superior, WI 54880-1770 | |
| Mark C Bergquist | Chiropractic | 2806 Belknap St, Superior, WI 54880-2341 | |
| James W Hoeffling | Chiropractic | 1728 Tower Ave, Superior, WI 54880-2543 | |
| Dane E Laughlin | Chiropractic | 1810 N 16th St, Suite 1, Superior, WI 54880-2597 | |
| John J Lange | Chiropractic | 1810 N 16th St, Suite 1, Superior, WI 54880-2597 | |
| James G Rauzi | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Lindi M Schlotthauer | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Chad Martin Peterson | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Jane E Worley | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Find all physicians in zip 54880 | |||
| City | SUPERIOR |
| Zip Code | 54880 |
| Specialty | UROLOGY |
| City + Specialty | SUPERIOR + UROLOGY |
Please comment or provide details below to improve the information on Travis James Moncrief.
| 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.