Olga L Medina (NPI# 1982950440, PAC ID# 0547408999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982950440 |
| PAC ID by PECOS | 0547408999 |
| Professional Enrollment ID | I20130524000594 |
| Full Name | Olga L Medina |
| Organization Legal Name | JOSEPH J KATTA MD PA |
| Address |
306 Nwbethany Dr Port Saint Lucie FL 34986-3578 |
| Phone Number | 7724667200 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244311553 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100246 | LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE |
| 100044 | MARTIN MEDICAL CENTER |
| 100260 | ST LUCIE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 7724614000 | GLIDDEN PARK INPATIENT SERVICES, LLC |
| 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 7723354000 | ATLANTIC ISLES INPATIENT SERVICES,LLC. |
| 306 Nwbethany Dr, Port Saint Lucie, FL 34986-3578 | 7724667200 | JOSEPH J KATTA MD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | JOSEPH J KATTA MD PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry S Hirschfield | Pathology | Joseph J Katta Md Pa | 1811 S 25th St, Fort Pierce, FL 34947-4756 |
| Robert S Epstein | Gastroenterology | Joseph J Katta Md Pa | 1900 Nebraska Ave, Suite 5, Fort Pierce, FL 34950-4837 |
| Lisamarie Simmons | Nurse Practitioner | Joseph J Katta Md Pa | 1900 Nebraska Ave, Suite 5, Fort Pierce, FL 34950-4837 |
| Brenda L Dozack | Nurse Practitioner | Joseph J Katta Md Pa | 1900 Nebraska Ave, Suite 5, Fort Pierce, FL 34950-4837 |
| Joseph J Katta | Gastroenterology | Joseph J Katta Md Pa | 1900 Nebraska Ave, Suite 5, Fort Pierce, FL 34950-4837 |
| Gloria J Huber | Nurse Practitioner | Joseph J Katta Md Pa | 1900 Nebraska Ave, Suite 5, Fort Pierce, FL 34950-4837 |
| Manuel D Domagtoy | Nurse Practitioner | Joseph J Katta Md Pa | 1900 Nebraska Ave, Suite 5, Fort Pierce, FL 34950-4837 |
| Street Address |
306 NWBETHANY DR |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip | 34986-3578 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delvis A Celdran | Neurology | 543 Nw Lake Whitney Place, Unit 105, Port St Lucie, FL 34986-1604 | |
| Spencer D Lee | Plastic and Reconstructive Surgery | 525 Nw Lake Whitney Pl, Suite 206, Port St Lucie, FL 34986-1605 | |
| Jad P Mahfood | Rheumatology | 549 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1606 | |
| Grace H Yoo | Obstetrics/gynecology | Florida Woman Care LLC | 501 Nw Lake Whitney Place, Suite 106, Port St Lucie, FL 34986-1615 |
| Gerald A Ross | Obstetrics/gynecology | Florida Woman Care LLC | 501 Nw Lake Whitney Place, Suite 106, Port St Lucie, FL 34986-1615 |
| Bambi C Petrinic | Family Medicine | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Nestor Lacayo | Family Medicine | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Kelley Marie Turco | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Ernesto Porras Polo | Internal Medicine | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Katherine J Jones | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Find all physicians in zip 34986 | |||
| City | PORT SAINT LUCIE |
| Zip Code | 34986 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORT SAINT LUCIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Olga L Medina.
| 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.