Wanda Pak


Address: 3301 New Mexico Ave Nw, Suite 226, Washington, DC 20016-3600

Wanda Pak (NPI# 1609804293, PAC ID# 1759343510) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1609804293
PAC ID by PECOS 1759343510
Professional Enrollment ID I20041110001013
Full Name Wanda Pak
Address 3301 New Mexico Ave Nw
Suite 226
Washington
DC 20016-3600
Gender F
Credential MD
Medical School DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty OPHTHALMOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
090011 MEDSTAR WASHINGTON HOSPITAL CENTER

Other Locations

Address Phone Organization
110 Irving St Nw, 1a, Washington, DC 20010-3017 2028775329 WASHINGTON NATIONAL EYE CENTER
3301 New Mexico Ave Nw, Suite 226, Washington, DC 20016-3600

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 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%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Office Location

Street Address 3301 NEW MEXICO AVE NW
SUITE 226
City WASHINGTON
State DC
Zip 20016-3600

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Alicia Trotter Allergy/immunology 3301 New Mexico Ave Nw, Suite 302, Washington, DC 20016-3624
Kathryn Sue Sledjeski Qualified Audiologist V Patrick Mahat Md PC 3301 New Mexico Ave Nw, Suite 310, Washington, DC 20016-3624
Lydia P Ilieva Physical Therapy Physiotherapy Associates Inc 3301 New Mexico Ave Nw, Select Physical Therapy 50567 Suite 318, Washington, DC 20016-3622
Ximena Alexandra Pinell Plastic and Reconstructive Surgery Davinci Plastic Surgery PC 3301 New Mexico Ave Nw, Suite 236, Washington, DC 20016-3610
Geoffrey Palmer Physical Therapy Physiotherapy Associates Inc 3301 New Mexico Ave Nw, Select Physical Therapy 50567 Suite 318, Washington, DC 20016-3622
Andrew N. Umhau Internal Medicine Foxhall Internists,pc 3301 New Mexico Ave Nw, Suite 348, Washington, DC 20016-3623
Michael J Morse Podiatry 3301 New Mexico Ave Nw, Suite 232, Washington, DC 20016-3610
Dan T Brody Allergy/immunology Howard Boltansky Md PC 3301 New Mexico Ave Nw, Suite 223, Washington, DC 20016-3627
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Name Specialty Organization Address
Anne M Cinque Clinical Psychologist 4545 42 St Nw, Suite 204, Washington, DC 20016
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Mary E Hood Physical Therapy 4000 Albemarle St Nw, Suite 501, Washington, DC 20016-1856
Christina A Keltner Physical Therapy Physical and Massage Therapy Associates LLC 4000 Albemarle St Nw, Washington, DC 20016-1856
Stephanie N Sarandos Physical Therapy Progressive Physical Therapy LLC 4001 Brandywine St Nw, Suite 301, Washington, DC 20016-1876
Scott Osmun Obstetrics/gynecology Bloom Ob Gyn LLC 4001 Brandywine Street Nw, Suite 300, Washington, DC 20016-1876
Karen Leigh Blackburn Obstetrics/gynecology Bloom Ob Gyn LLC 4001 Brandywine Street Nw, Suite 300, Washington, DC 20016-1876
Joan E Loveland Obstetrics/gynecology Bloom Ob Gyn LLC 4001 Brandywine Street Nw, Suite 300, Washington, DC 20016-1876
David M Kenney Physical Therapy Progressive Physical Therapy LLC 4001 Brandywine St Nw, Suite 301, Washington, DC 20016-1876
Morgan E Cole Physical Therapy 4125 Albemarle St Nw, Suite 101, Washington, DC 20016-2105
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Competitor

Search similar physicians

City WASHINGTON
Zip Code 20016
Specialty OPHTHALMOLOGY
City + Specialty WASHINGTON + OPHTHALMOLOGY

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Dataset Information

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.

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