Merrit Marion Debartolo (NPI# 1427379189, PAC ID# 0941595631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1427379189 |
| PAC ID by PECOS | 0941595631 |
| Professional Enrollment ID | I20171117001343 |
| Full Name | Merrit Marion Debartolo |
| Organization Legal Name | MERCY HEALTH SYSTEM CORPORATION |
| Address |
901 Grant St Harvard IL 60033-1898 |
| Phone Number | 8159435431 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 7416860440 |
| Number of Group Practice Members | 496 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520066 | MERCY HEALTH SYSTEM CORP |
| 141335 | MERCY HARVARD HOSPITAL |
| 521357 | MERCY WALWORTH HOSPITAL & MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 901 Grant St, Harvard, IL 60033-1898 | 8159435431 | MERCY HEALTH SYSTEM CORPORATION |
| 2000 Lake Ave, Woodstock, IL 60098-7401 | 8153377100 | MERCY HEALTH SYSTEM CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 59% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 26% | |
| 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 | 98% |
| Organization Legal Name | MERCY HEALTH SYSTEM CORPORATION |
| Physicians | 476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer C Finch | Nurse Practitioner | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Shannon R Vokac | Qualified Audiologist | Mercy Health System Corporation | 390 Congress Pkwy, Crystal Lake Med Ctr East, Crystal Lake, IL 60014-6207 |
| Amy Sosa | Psychologist, Clinical | Mercy Health System Corporation | N2846 State Rd, Suite 67, Williams Bay, WI 53191-3771 |
| David M Francis | Radiation Oncology | Mercy Health System Corporation | 1000 Mineral Point Ave, Janesville, WI 53548-2940 |
| Andrew J Bridge | Family Medicine | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Imad M Aziz | Family Medicine | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
| Corinne M Hansen | Physician Assistant | Mercy Health System Corporation | 3400 Deerfield Dr, Janesville, WI 53546-3557 |
| Karina L Quinn | Plastic and Reconstructive Surgery | Mercy Health System Corporation | N2950 State Rd, Suite 67, Lake Geneva, WI 53147-2655 |
| Baby Min Than | Family Medicine | Mercy Health System Corporation | 2000 Lake Ave, Woodstock, IL 60098-7401 |
| Syed Hassan | Family Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Street Address |
901 GRANT ST |
| City | HARVARD |
| State | IL |
| Zip | 60033-1898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer C Finch | Nurse Practitioner | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Emily Kathleen Wilczak | General Surgery | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Evelyn L Dawis | Anesthesiology | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Alan S Wagner | Diagnostic Radiology | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Richard O Cook | Obstetrics/gynecology | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Amber Omiecinski | Nurse Practitioner | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Joseph P Mazzei | Emergency Medicine | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Victor I Garber | Emergency Medicine | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Azeem S Pasha | Emergency Medicine | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Bradley M Fideler | Orthopedic Surgery | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jung M Rhee | Ophthalmology | Mercy Health System Corporation | 1001 Grant St, Harvard, IL 60033-1822 |
| James J Greenberg | General Surgery | Mercy Health System Corporation | 1001 Grant St, Harvard, IL 60033-1822 |
| Douglas H Bryan | Vascular Surgery | Mercy Health System Corporation | 1001 Grant St, Harvard, IL 60033-1822 |
| Robert M Cook | Pulmonary Disease | Mercy Health System Corporation | 1001 Grant St, Harvard, IL 60033-1822 |
| Paul H Dehaan | Orthopedic Surgery | Mercy Health System Corporation | 1001 Grant St, Harvard, IL 60033-1822 |
| Rajesh Balagani | Pulmonary Disease | Mercy Health System Corporation | 1001 Grant St, Harvard, IL 60033-1822 |
| Yasmin Hussain | Gastroenterology | Mercy Health System Corporation | 1001 Grant St, Harvard, IL 60033-1822 |
| Angela E Mack | Registered Dietitian Or Nutrition Professional | Mercy Health System Corporation | 1001 Grant St, Harvard, IL 60033-1822 |
| Jennifer J Gibson Chambers | Emergency Medicine | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Michelle P Isacson | Nurse Practitioner | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Find all physicians in zip 60033 | |||
| City | HARVARD |
| Zip Code | 60033 |
| Specialty | UROLOGY |
| City + Specialty | HARVARD + UROLOGY |
Please comment or provide details below to improve the information on Merrit Marion Debartolo.
| 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.