Physician Compare National (NPI:1861690810)

HEALTHCARE PROVIDER: NANCY VIRGINIA PRECHTL DPM

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

Individual Professional Information
NPI	1861690810
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416040811
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070830000333
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRECHTL
	Individual professional last name
Provider First Name	NANCY
	Individual professional first name
Provider Middle Name	V
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	380 LOWELL ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	WAKEFIELD
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	018801984
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HALLMARK HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y