Willie M Deas (NPI# 1225146830, PAC ID# 1052312717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1225146830 |
| PAC ID by PECOS | 1052312717 |
| Professional Enrollment ID | I20070123000384 |
| Full Name | Willie M Deas |
| Organization Legal Name | CSRA MEDICAL ASSOCIATES |
| Address |
350 Austin Graybill Rd North Augusta SC 29860-9251 |
| Phone Number | 7067365244 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Group Practice PAC ID | 8729102512 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2123 Wrightsboro Rd, Augusta, GA 30904-2304 | 7067365244 | CSRA MEDICAL ASSOCIATES |
| 350 Austin Graybill Rd, North Augusta, SC 29860-9251 | 7067365244 | CSRA MEDICAL ASSOCIATES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CSRA MEDICAL ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Calvin Jackson | Internal Medicine | Csra Medical Associates | 2123 Wrightsboro Rd, Augusta, GA 30904-2304 |
| Street Address |
350 AUSTIN GRAYBILL RD |
| City | NORTH AUGUSTA |
| State | SC |
| Zip | 29860-9251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerard Eric Morgan | Diagnostic Radiology | Union Hospital of Cecil County | 496 Sheppard Dr, North Augusta, SC 29860-7658 |
| Pairach Pintavorn | Nephrology | Augusta Nephrology and Internal Medicine Associates, PC | 139 Market Place Dr, North Augusta, SC 29860-9274 |
| City | NORTH AUGUSTA |
| Zip Code | 29860 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NORTH AUGUSTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Willie M Deas.
| 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.