Physician Compare National (NPI:1427076587)

HEALTHCARE PROVIDER: LAVERNE MONISE BARNES DO, MPH

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1427076587
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496763286
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060405000535
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BARNES
	Individual professional last name
Provider First Name	LAVERNE
	Individual professional first name
Provider Middle Name	MONISE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FAMILY CHRISTIAN HEALTH CENTER
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6507758612
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	19767 TORRENCE AVE
	Group Practice or individual's line 1 address
City	LYNWOOD
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604117624
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7085965177
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140191
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INGALLS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y