Fallon Medical Complex Inc
A Medicare group practice based in Baker, MT: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0941119499), with 21 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0941119499
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MT
- Enrollments
- 4
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040614000391 | MT | Part B Supplier - Clinic/Group Practice | 1386700763 |
| O20070921000453 | MT | Part A Provider - Critical Access Hospital | 1316013022 |
| O20051013000381 | MT | Part A Provider - Rural Health Clinic | 1700895752 |
| O20061104000600 | MT | Part A Provider - Critical Access Hospital | 1316965346 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Fallon Medical Complex Inc
- Medicare Defined Swing Bed Hospital Unit
- Baker, MT
- NPI 1316013022
-
Fallon Medical Complex Inc
- Critical Access Hospital
- Baker, MT
- NPI 1316965346
-
Fallon Medical Complex Inc
dba dba Community Clinic
- Critical Access Hospital Clinic/Center
- Baker, MT
- NPI 1386700763
Practice locations
- Baker, MT4
- Wibaux, MT1
Clinicians 21
Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (6).
-
Troy Robinson Baker, MD
- Family Medicine Physician
- Eagle Mountain, UT
- NPI 1487624664
-
Brittany Bettenhausen, PT
- Physical Therapist
- Missoula, MT
- NPI 1992031140
-
Dale Darwin Diede, PAC
- Physician Assistant
- Glendive, MT
- NPI 1922156421
-
Charles Emerson, PA, ATC
- Medical Physician Assistant
- Aurora, CO
- NPI 1053863746
-
Darryl M Espeland, DO
- General Practice Physician
- Baker, MT
- NPI 1093745572
-
Spencer Michael Fey, FNP-BC
- Family Nurse Practitioner
- Goose Creek, SC
- NPI 1326867607
-
Christopher Hallberg, M.D.
- Family Medicine Physician
- Superior, MT
- NPI 1194257865
-
Amber Elena Hurley, DPT
- Physical Therapist
- Baker, MT
- NPI 1851729396
-
Sharon Ann Inman, N.P.
- Nurse Practitioner
- Blanco, TX
- NPI 1144220468
-
Leszek J Jaszczak, M.D.
- Diagnostic Radiology Physician
- Williston, ND
- NPI 1467528455
-
Lisa A Langburd, NP
- Family Nurse Practitioner
- Lewiston, ME
- NPI 1558329664
-
Tylyn Loudermilk
- Family Nurse Practitioner
- Baker, MT
- NPI 1467051318
-
Dawn Lovisa, FNP
- Nurse Practitioner
- Oconto Falls, WI
- NPI 1841212321
-
Edward Gregory Moellmer, MD
- Family Medicine Physician
- Bonners Ferry, ID
- NPI 1942566195
-
Mikenna Marie O'Donnell, OTR/L
- Occupational Therapist
- Baker, MT
- NPI 1033676630
-
Patrick Lynn Smith, APRN, FNP-C
- Family Nurse Practitioner
- Lakeland, FL
- NPI 1740753920
-
Brian Michael Sullivan, MD
- Family Medicine Physician
- Baker, MT
- NPI 1972761252
-
Victoria J Susa, DPT
- Physical Therapist
- Baker, MT
- NPI 1215368220
-
Heidi Swift, MSN, FNP-C
- Family Nurse Practitioner
- Anchorage, AK
- NPI 1730551862
-
Angela Widler, PA
- Medical Physician Assistant
- VA Beach, VA
- NPI 1457776049
-
Danny A Wolfgram, MD
- Family Medicine Physician
- Aberdeen, SD
- NPI 1861473753
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.