Brent Zamzow (NPI# 1962548149, PAC ID# 0749451581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1962548149 |
| PAC ID by PECOS | 0749451581 |
| Professional Enrollment ID | I20110927000496 |
| Full Name | Brent Zamzow |
| Organization Legal Name | WT MEDICAL ASSOCIATES |
| Address |
1718 Parr Ave Suite A Dyersburg TN 38024-2075 |
| Phone Number | 7312854104 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1951650613 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440072 | DYERSBURG REGIONAL MEDICAL CENTER |
| 441314 | LAUDERDALE COMMUNITY HOSPITAL |
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| 440130 | BAPTIST MEMORIAL HOSPITAL UNION CITY |
| Address | Phone | Organization |
|---|---|---|
| 1718 Parr Ave, Suite A, Dyersburg, TN 38024-2075 | 7312854104 | WT MEDICAL ASSOCIATES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 6% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 11% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 34% |
| Organization Legal Name | WT MEDICAL ASSOCIATES |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Lain Young | Nurse Practitioner | Wt Medical Associates | 455 E Parkview St, Dyersburg, TN 38024-3111 |
| John A Osborne | General Surgery | Wt Medical Associates | 420 Wilkinson Dr, Fl 2, Dyersburg, TN 38024-2085 |
| Jenna R Griffin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Olyn F Moore Iii | General Surgery | Wt Medical Associates | 503 E Tickle St, Suite A, Dyersburg, TN 38024-3165 |
| Fred J Sesti | Nurse Practitioner | Wt Medical Associates | 1270 Union University Dr, Suite A, Jackson, TN 38305-3856 |
| George T Edwards | General Surgery | Wt Medical Associates | 1718 Parr Ave, Suite B, Dyersburg, TN 38024-2075 |
| William N Mckee | Internal Medicine | Wt Medical Associates | 1629 Woodlawn Ave, Dyersburg, TN 38024-2025 |
| Ravinder Kaur Machra | Internal Medicine | Wt Medical Associates | 1055 Vendall Rd, Suite A, Dyersburg, TN 38024-1622 |
| Eugene Michael Finan | Obstetrics/gynecology | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Michael W Hinds | Internal Medicine | Wt Medical Associates | 215 Hawks Rd, Suite 6, Martin, TN 38237-2742 |
| Street Address |
1718 PARR AVE SUITE A |
| City | DYERSBURG |
| State | TN |
| Zip | 38024-2075 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George T Edwards | General Surgery | Wt Medical Associates | 1718 Parr Ave, Suite B, Dyersburg, TN 38024-2075 |
| Alexander P Walker | Nurse Practitioner | West Tennessee Pain Specialists, Pllc | 1718 Parr Ave, Dyersburg, TN 38024-2071 |
| Edward B Mcwhirt | General Surgery | Wt Medical Associates | 1718 Parr Ave, Suite B, Dyersburg, TN 38024-2075 |
| Tosha A Marquardt | Physician Assistant | West Tennessee Pain Specialists, Pllc | 1718 Parr Ave, Dyersburg, TN 38024-2071 |
| Randy L Olson | Orthopedic Surgery | Wt Medical Associates | 1718 Parr Ave, Suite C, Dyersburg, TN 38024-2075 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy W Gatlin | Chiropractic | 1800 St John Ave, Dyersburg, TN 38024 | |
| Timothy D Sweo | Orthopedic Surgery | Noma PC | 1855 Hwy 51 Bypass, Suite B, Dyersburg, TN 38024 |
| James E Naifeh | Family Medicine | 640 Hwy 51 Bypass, Suite E, Dyersburg, TN 38024 | |
| James Tetleton | Nurse Practitioner | Mid-south Convenient Care, Pllc | 1445 Hwy 51 Bypass E, Suite B, Dyersburg, TN 38024 |
| Keata Anthony | Nurse Practitioner | Mid-south Convenient Care, Pllc | 1445 Hwy 51 Bypass E, Suite B, Dyersburg, TN 38024 |
| Kelly Lusk | Chiropractic | 1150 Hwy 51 By-pass W, Suite A, Dyersburg, TN 38024-0001 | |
| Eugene Michael Finan | Obstetrics/gynecology | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Becky Bruce | Nurse Practitioner | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| William R Turner | Family Medicine | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Kelley C Burg | Nurse Practitioner | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Find all physicians in zip 38024 | |||
| City | DYERSBURG |
| Zip Code | 38024 |
| Specialty | UROLOGY |
| City + Specialty | DYERSBURG + UROLOGY |
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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.