Rebecca Lietzow (NPI# 1538450630, PAC ID# 4688974397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538450630 |
| PAC ID by PECOS | 4688974397 |
| Professional Enrollment ID | I20151202002171 |
| Full Name | Rebecca Lietzow |
| Organization Legal Name | NORTH COUNTRY HEALTHCARE INC |
| Address |
708 S Coeur D Alene Lane B Payson AZ 85541-5662 |
| Phone Number | 9285229804 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820981053 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031318 |
| Address | Phone | Organization |
|---|---|---|
| 2920 N 4th St, Flagstaff, AZ 86004-1816 | 9285229804 | NORTH COUNTRY HEALTHCARE INC |
| 708 S Coeur D Alene Lane B, Payson, AZ 85541-5662 | 9285229804 | NORTH COUNTRY HEALTHCARE INC |
| 470 W Cleveland, Saint Johns, AZ 85936-4501 | 9283374301 | NORTH COUNTRY HEALTHCARE INC |
| 625 N 13th, Saint Johns, AZ 85936 | 9285229804 | NORTH COUNTRY HEALTHCARE INC |
| 301 S 7th St, Williams, AZ 86046-2324 | 9285229804 | NORTH COUNTRY HEALTHCARE INC |
| Organization Legal Name | NORTH COUNTRY HEALTHCARE INC |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheilkeela S Howard-gurley | Nurse Practitioner | North Country Healthcare Inc | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 |
| Diana Mcnally | Nurse Practitioner | North Country Healthcare Inc | 1510 N Stockton Hill Rd, Kingman, AZ 86401-5173 |
| Elizabeth Miller | Nurse Practitioner | North Country Healthcare Inc | 2650 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7955 |
| Sarah A Stoit | Nurse Practitioner | North Country Healthcare Inc | 301 S 7th St, Williams, AZ 86046-2324 |
| Patti W Mugo | Family Medicine | North Country Healthcare Inc | 2109 Navajo Blvd, Holbrook, AZ 86025-1822 |
| Flint C Hales | Family Medicine | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Timothy L Jackson | Physician Assistant | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023-0290 |
| Jane E Dill | Family Medicine | North Country Healthcare Inc | 1120 W University Ave, Suite 101, Flagstaff, AZ 86001-2851 |
| Elaine M Accomando | Physician Assistant | North Country Healthcare Inc | 2920 N 4th St, Flagstaff, AZ 86004-1816 |
| Charles H Smith | Family Medicine | North Country Healthcare Inc | 2920 N 4th St, Flagstaff, AZ 86004-1816 |
| Street Address |
708 S COEUR D ALENE LANE B |
| City | PAYSON |
| State | AZ |
| Zip | 85541-5662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marvin C Depas | Nurse Practitioner | North Country Healthcare Inc | 708 S Coeur D Alene Lane B, Payson, AZ 85541-5662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaber J Abawi | Internal Medicine | 1106 N Beeline Hwy, Payson, AZ 85541-3714 | |
| Christine Erin Tetzloff | Clinical Psychologist | 814 N Beeline Hwy, Suite I, Payson, AZ 85541-3757 | |
| Rodney D Anderson | Chiropractic | 903 N Beeline Hwy B, Payson, AZ 85541-3789 | |
| Douglas M Savery | Optometry | 300 N Beeline, Payson, AZ 85541-4305 | |
| Patrick E Padrnos | Optometry | Patrick Padrnos O.d. P.C. | 300 N Beeline Hwy, Payson, AZ 85541-4305 |
| Sarah M Padrnos | Optometry | Patrick Padrnos O.d. P.C. | 300 N Beeline Hwy, Payson, AZ 85541-4305 |
| Loyd B Olson Iii | General Surgery | Banner Physician Specialists Arizona LLC | 117 E Main St, A100 Banner Health Clinic, Payson, AZ 85541-4606 |
| Tamerut A Adams | Internal Medicine | Banner Primary Care Physicians Arizona LLC | 117 E Main St, Suite A100, Payson, AZ 85541-4606 |
| Jessica R Parker | Physician Assistant | Banner Primary Care Physicians Arizona LLC | 117 E Main St, Suite A100, Payson, AZ 85541-4606 |
| John Cagnola Iii | Physician Assistant | Banner Primary Care Physicians Arizona LLC | 117 E Main St, Suite A100, Payson, AZ 85541-4606 |
| Find all physicians in zip 85541 | |||
| City | PAYSON |
| Zip Code | 85541 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PAYSON + NURSE PRACTITIONER |
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| 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.