Kristel Rush (NPI# 1164408126, PAC ID# 5890766539) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164408126 |
| PAC ID by PECOS | 5890766539 |
| Professional Enrollment ID | I20131015001502 |
| Full Name | Kristel Rush |
| Organization Legal Name | NATIVE VILLAGE OF EYAK |
| Address |
705 2nd St Cordova AK 99574 |
| Phone Number | 9074243622 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052220878 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021307 | CORDOVA COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 705 2nd St, Cordova, AK 99574 | 9074243622 | NATIVE VILLAGE OF EYAK |
| Organization Legal Name | NATIVE VILLAGE OF EYAK |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Iutzi | Family Medicine | Native Village of Eyak | 705 2nd St, Cordova, AK 99574 |
| Melinda M Hansen | General Practice | Native Village of Eyak | 705 2nd St, Cordova, AK 99574 |
| Kevin B Fitzgerald | Physician Assistant | Native Village of Eyak | 705 2nd St, Cordova, AK 99574 |
| Street Address |
705 2ND ST |
| City | CORDOVA |
| State | AK |
| Zip | 99574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Iutzi | Family Medicine | Native Village of Eyak | 705 2nd St, Cordova, AK 99574 |
| Melinda M Hansen | General Practice | Native Village of Eyak | 705 2nd St, Cordova, AK 99574 |
| Kevin B Fitzgerald | Physician Assistant | Native Village of Eyak | 705 2nd St, Cordova, AK 99574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry L Bartley | Chiropractic | 105 W Council Ave, Cordova, AK 99574-0579 |
| City | CORDOVA |
| Zip Code | 99574 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CORDOVA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kristel Rush.
| 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.