William M Bracken (NPI# 1417969031, PAC ID# 5799687166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1417969031 |
| PAC ID by PECOS | 5799687166 |
| Professional Enrollment ID | I20040126000182 |
| Full Name | William M Bracken |
| Organization Legal Name | KEMPER CAH, INC. |
| Address |
14365 Hwy 16 W De Kalb MS 39328-7974 |
| Phone Number | 7694861000 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5991985012 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251335 | JOHN C STENNIS MEMORIAL HOSPITAL |
| 250069 | RUSH FOUNDATION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14365 Hwy 16 W, De Kalb, MS 39328-7974 | 7694861000 | KEMPER CAH, INC. |
| Organization Legal Name | KEMPER CAH, INC. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Hailey-sharp | Family Medicine | Kemper Cah, Inc. | 1221 N Washington St, Livingston, AL 35470-5410 |
| Martha Puckett | Nurse Practitioner | Kemper Cah, Inc. | 14365 Hwy 16 W, De Kalb, MS 39328-7974 |
| Vanessa Norman | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Jacob E Ulmer Iii | Family Medicine | Kemper Cah, Inc. | 1710 14th St, Meridian, MS 39301-4140 |
| Jennifer P Lafferty | Nurse Practitioner | Kemper Cah, Inc. | 5334 Dale Dr, Marion, MS 39342-9604 |
| Miyako Mccloud | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Britney Deon Kersh | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Richard A Nance Ii | Family Medicine | Kemper Cah, Inc. | 1710 14th St, Meridian, MS 39301-4140 |
| Sammy E Kratzer | Nurse Practitioner | Kemper Cah, Inc. | 14365 Hwy 16 W, De Kalb, MS 39328-7974 |
| Kayla L Barnett | Nurse Practitioner | Kemper Cah, Inc. | 14365 Hwy 16 W, De Kalb, MS 39328-7974 |
| Street Address |
14365 HWY 16 W |
| City | DE KALB |
| State | MS |
| Zip | 39328-7974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha Puckett | Nurse Practitioner | Kemper Cah, Inc. | 14365 Hwy 16 W, De Kalb, MS 39328-7974 |
| Sammy E Kratzer | Nurse Practitioner | Kemper Cah, Inc. | 14365 Hwy 16 W, De Kalb, MS 39328-7974 |
| Kayla L Barnett | Nurse Practitioner | Kemper Cah, Inc. | 14365 Hwy 16 W, De Kalb, MS 39328-7974 |
| Christopher Ashley Brewer | Physician Assistant | Kemper Cah, Inc. | 14365 Hwy 16 W, De Kalb, MS 39328-7974 |
| Jessica Hardy | Nurse Practitioner | Kemper Cah, Inc. | 14365 Hwy 16 W, De Kalb, MS 39328-7974 |
| City | DE KALB |
| Zip Code | 39328 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DE KALB + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on William M Bracken.
| 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.