Jason Thomas Gaisford (NPI# 1679909931, PAC ID# 0042448177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679909931 |
| PAC ID by PECOS | 0042448177 |
| Professional Enrollment ID | I20140116000774 |
| Full Name | Jason Thomas Gaisford |
| Organization Legal Name | RACC MEDICAL ASSOCIATES LLC |
| Address |
2124 N Biomet Dr Warsaw IN 46582-7858 |
| Phone Number | 2607483650 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648424127 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150047 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2512 E Dupont Rd, 200 Summit Pain Management, Fort Wayne, IN 46825-1609 | 2607483650 | RACC MEDICAL ASSOCIATES LLC |
| 6811 Lima Rd, Suite B, Fort Wayne, IN 46818-1145 | 2609692323 | RACC MEDICAL ASSOCIATES LLC |
| 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2607483650 | RACC MEDICAL ASSOCIATES LLC |
| 2124 N Biomet Dr, Warsaw, IN 46582-7858 | 2607483650 | RACC MEDICAL ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 96% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 62% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 90% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 75% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% |
| 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 |
| Breanna Lee Haglund | Physician Assistant | Racc Medical Associates LLC | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| 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 |
2124 N BIOMET DR |
| City | WARSAW |
| State | IN |
| Zip | 46582-7858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Straub | Physician Assistant | Racc Medical Associates LLC | 2124 N Biomet Dr, Warsaw, IN 46582-7858 |
| Leo D Jansen | Orthopedic Surgery | Jansen Orthopaedic Clinic, LLC | 2124 N Biomet Dr, Warsaw, IN 46582-7858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kylie A Sebastian | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
| Wayne A Hogenson | Chiropractic | 3107 E Ctr St, We Care Chiropractic, Warsaw, IN 46582-3901 | |
| Stephen J Schreck | Otolaryngology | Ear, Nose and Throat Associates, PC | 3161 E Ctr St, Warsaw, IN 46582-3901 |
| Madison K Ziegel | Qualified Audiologist | Ear, Nose and Throat Associates, PC | 3161 E Ctr St, Warsaw, IN 46582-3901 |
| Emily B Brandstatter | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
| Aaron J Brown | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
| Alexa A Carver | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
| Adam T Garner | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
| Matthew R Frieden | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
| Kristine M Jones | Optometry | Midwest Eye Consultants, P.C. | 3157 E Ctr St, Warsaw, IN 46582-3901 |
| Find all physicians in zip 46582 | |||
| City | WARSAW |
| Zip Code | 46582 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WARSAW + PHYSICIAN ASSISTANT |
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| 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.