Breanna Lee Haglund (NPI# 1720558786, PAC ID# 9032454335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1720558786 |
| PAC ID by PECOS | 9032454335 |
| Professional Enrollment ID | I20181214000147 |
| Full Name | Breanna Lee Haglund |
| Organization Legal Name | RACC MEDICAL ASSOCIATES LLC |
| Address |
7635 W Jefferson Blvd Fort Wayne IN 46804-4133 |
| Phone Number | 2607483650 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648424127 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2512 E Dupont Rd, 200 Summit Pain Management, Fort Wayne, IN 46825-1609 | 2607483650 | RACC MEDICAL ASSOCIATES LLC |
| 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2607483650 | RACC MEDICAL ASSOCIATES LLC |
| Organization Legal Name | RACC MEDICAL ASSOCIATES LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey Michelle Harvey | Physician Assistant | Racc Medical Associates LLC | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Thomas A Straub | Physician Assistant | Racc Medical Associates LLC | 2124 N Biomet Dr, Warsaw, IN 46582-7858 |
| Mark A Fisher | Physician Assistant | Racc Medical Associates LLC | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 |
| Dorinda S Mosbrucker | Nurse Practitioner | Racc Medical Associates LLC | 2512 E Dupont Rd, 200 Summit Pain Management, Fort Wayne, IN 46825-1609 |
| Hary R Ailinani | Physical Medicine and Rehabilitation | Racc Medical Associates LLC | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 |
| Jason Thomas Gaisford | Physician Assistant | Racc Medical Associates LLC | 2124 N Biomet Dr, Warsaw, IN 46582-7858 |
| Daniel C Roth | Physical Medicine and Rehabilitation | Racc Medical Associates LLC | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 |
| Robert Franklin Jackson Ii | Orthopedic Surgery | Racc Medical Associates LLC | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Street Address |
7635 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-4133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey Michelle Harvey | Physician Assistant | Racc Medical Associates LLC | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Robert Franklin Jackson Ii | Orthopedic Surgery | Racc Medical Associates LLC | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT WAYNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Breanna Lee Haglund.
| 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.