Shaun H Kretzschmar (NPI# 1386675502, PAC ID# 7517917008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386675502 |
| PAC ID by PECOS | 7517917008 |
| Professional Enrollment ID | I20050122000074 |
| Full Name | Shaun H Kretzschmar |
| Organization Legal Name | SHAUN KRETZSCHMAR DO PA |
| Address |
260 Willow Bend Dr Medical Associates At Willow Park Aledo TX 76008-1188 |
| Phone Number | 8174419252 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6800192212 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450203 | MEDICAL CITY WEATHERFORD |
| 450779 | TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F |
| 450135 | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 260 Willow Bend Dr, Medical Associates At Willow Park, Aledo, TX 76008-1188 | 8174419252 | SHAUN KRETZSCHMAR DO PA |
| 317 N Fm, 1187 Aledo Family Medicine, Aledo, TX 76008-4200 | 8173003216 | SHAUN KRETZSCHMAR DO PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SHAUN KRETZSCHMAR DO PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Katherine Morey | Nurse Practitioner | Shaun Kretzschmar Do Pa | 317 N Fm, 1187 Aledo Family Medicine, Aledo, TX 76008-4200 |
| Terri L Stitle | Nurse Practitioner | Shaun Kretzschmar Do Pa | 260 Willow Bend Dr, Medical Associates At Willow Park, Aledo, TX 76008-1188 |
| Kristina Hall | Nurse Practitioner | Shaun Kretzschmar Do Pa | 260 Willow Bend Dr, Medical Associates At Willow Park, Aledo, TX 76008-1188 |
| Street Address |
260 WILLOW BEND DR MEDICAL ASSOCIATES AT WILLOW PARK |
| City | ALEDO |
| State | TX |
| Zip | 76008-1188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Townsend Fogle | Nurse Practitioner | Matthew G. Stine Do Pa | 260 Willow Bend Dr, Medical Associates At Willow Park, Aledo, TX 76008-1188 |
| Terri L Stitle | Nurse Practitioner | Shaun Kretzschmar Do Pa | 260 Willow Bend Dr, Medical Associates At Willow Park, Aledo, TX 76008-1188 |
| Matthew G Stine | Family Medicine | Matthew G. Stine Do Pa | 260 Willow Bend Dr, Medical Associates At Willow Park, Aledo, TX 76008-1188 |
| Kristina Hall | Nurse Practitioner | Shaun Kretzschmar Do Pa | 260 Willow Bend Dr, Medical Associates At Willow Park, Aledo, TX 76008-1188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irene V Perez Young | Diagnostic Radiology | Nightrays Pa | 216 Bearclaw Cir, Aledo, TX 76008-1198 |
| Jason Wade Skiles | Diagnostic Radiology | Singleton Associates Pa | 184 Oakcrest Hills Dr, Aledo, TX 76008-2586 |
| Sangeeta Neela | Diagnostic Radiology | Singleton Associates Pa | 184 Oakcrest Hills Dr, Aledo, TX 76008-2586 |
| David P Dipaolo | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 119 Willow Springs Lane, Larry Jordan, Aledo, TX 76008-2767 |
| Larry K Jordan | Diagnostic Radiology | Singleton Associates Pa | 119 Willow Springs Ln, Aledo, TX 76008-2767 |
| Marcus H Gleaton | Optometry | 126 S Ranch House Rd, Suite 1000, Aledo, TX 76008-2782 | |
| Sarah Katherine Morey | Nurse Practitioner | Shaun Kretzschmar Do Pa | 317 N Fm, 1187 Aledo Family Medicine, Aledo, TX 76008-4200 |
| Marie Breithaupt Woerner | Physical Therapy | Woerner Physical Therapy LLC | 203 E Oak St, Aledo, TX 76008-4345 |
| Brent R Procter | Chiropractic | 213 Old Annetta Rd, Aledo, TX 76008-4455 | |
| Kris D Porter | Internal Medicine | 94 Bluff Vw, Aledo, TX 76008-4580 | |
| Find all physicians in zip 76008 | |||
| City | ALEDO |
| Zip Code | 76008 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALEDO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shaun H Kretzschmar.
| 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.