Charles Brent Wakefield (NPI# 1215151543, PAC ID# 7012187123) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1215151543 |
| PAC ID by PECOS | 7012187123 |
| Professional Enrollment ID | I20110829000421 |
| Full Name | Charles Brent Wakefield |
| Organization Legal Name | ADULT AND PEDIATRIC UROLOGY PC |
| Address |
104 W 17th St Adult and Pediatric Urology and Urogyne Schuyler NE 68661-1304 |
| Phone Number | 4023522441 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 8820980634 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| 160047 | METHODIST JENNIE EDMUNDSON |
| 280077 | FREMONT HEALTH |
| 280130 | CHI HEALTH LAKESIDE |
| 161330 | AUDUBON COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 | 7123250014 | ADULT AND PEDIATRIC UROLOGY PC |
| 104 W 17th St, Adult and Pediatric Urology and Urogyne, Schuyler, NE 68661-1304 | 4023522441 | ADULT AND PEDIATRIC UROLOGY PC |
| Organization Legal Name | ADULT AND PEDIATRIC UROLOGY PC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Jaskierny Jr. | Pathology | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 100, Omaha, NE 68114-4762 |
| Stefanie L Bolte | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Andrew R Arther | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Donalee I Kennedy | Nurse Practitioner | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 |
| Michaela M Duggan | Physician Assistant | Adult and Pediatric Urology PC | 8303 Dodge St, Omaha, NE 68114-4108 |
| Rebecca J Mccrery | Urology | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 |
| Marnie Elizabeth Jean Thrasher | Physician Assistant | Adult and Pediatric Urology PC | 8303 Dodge St, Omaha, NE 68114-4108 |
| Andrew Francis Trainer | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Meghann M Reller | Nurse Practitioner | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 |
| John D Horgan | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Street Address |
104 W 17TH ST ADULT AND PEDIATRIC UROLOGY AND UROGYNE |
| City | SCHUYLER |
| State | NE |
| Zip | 68661-1304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela H List | Nurse Practitioner | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Renae M Meyer | Family Medicine | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Scott D Green | Family Medicine | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Rhett J Eckmann | Emergency Medicine | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Daniel L Hakel | Physician Assistant | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Thomas W Cohee | Family Medicine | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Brian E Hass | Family Medicine | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Joan L Yosten | Physician Assistant | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Linda L Cihacek | Physician Assistant | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Kenneth R Pitz | Orthopedic Surgery | Franciscan Care Services Inc | 104 W 17th St, Chi Health Schuyler, Schuyler, NE 68661-1304 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Jackson Iii | Family Medicine | Alegent Health Memorial Hospital Schuyler | 104 W 17th St, Schuyler, NE 68661-1304 |
| James C Collins | Chiropractic | 410 W 16th St, Groene Chiropractic Clinic PC, Schuyler, NE 68661-1348 | |
| Janna L Rector | Chiropractic | 410 W 16th St, Schuyler, NE 68661-1348 | |
| James L Sullivan | Family Medicine | Alegent Health Memorial Hospital Schuyler | 1721 Colfax St, Schuyler, NE 68661-1400 |
| Katie J Saalfeld | Chiropractic | Optimal Health Chiropractic LLC | 208 E 12th St, Schuyler, NE 68661-1906 |
| City | SCHUYLER |
| Zip Code | 68661 |
| Specialty | UROLOGY |
| City + Specialty | SCHUYLER + UROLOGY |
Please comment or provide details below to improve the information on Charles Brent Wakefield.
| 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.