James F Mracek Ii (NPI# 1588720452, PAC ID# 1951207257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1588720452 |
| PAC ID by PECOS | 1951207257 |
| Professional Enrollment ID | I20031209000181 |
| Full Name | James F Mracek Ii |
| Organization Legal Name | IVY CREEK OF ELMORE LLC |
| Address |
807 Jackson Trace Rd Wetumpka AL 36092-1504 |
| Phone Number | 3345670346 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8426075508 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010097 | ELMORE COMMUNITY HOSPITAL |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| 010024 | JACKSON HOSPITAL & CLINIC INC |
| Address | Phone | Organization |
|---|---|---|
| 500 Hospital Dr B, Wetumpka, AL 36092-1625 | 3345674311 | IVY CREEK OF ELMORE LLC |
| 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 | 3345670346 | IVY CREEK OF ELMORE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 5% |
| Organization Legal Name | IVY CREEK OF ELMORE LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi I Criswell | Nurse Practitioner | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| Leslie Pendergrass | Nurse Practitioner | Ivy Creek of Elmore LLC | 4412 Hogan Rd, Deatsville, AL 36022-3400 |
| Martin A Lyons Jr. | Family Medicine | Ivy Creek of Elmore LLC | 41 Cambridge Ct, Wetumpka, AL 36093-1261 |
| Janice M Seip | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Sherman L Armstrong | General Surgery | Ivy Creek of Elmore LLC | 515 Hospital Dr, Wetumpka, AL 36092-1626 |
| Brandy Erin Laurenzi | Nurse Practitioner | Ivy Creek of Elmore LLC | 41 Cambridge Ct, Wetumpka, AL 36093-1261 |
| Jeremy Taylor | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Jeana Ann Murphy | Nurse Practitioner | Ivy Creek of Elmore LLC | 41 Cambridge Ct, Wetumpka, AL 36093-1261 |
| Street Address |
807 JACKSON TRACE RD |
| City | WETUMPKA |
| State | AL |
| Zip | 36092-1504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi I Criswell | Nurse Practitioner | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice M Seip | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Scott Berl | Diagnostic Radiology | Radiology Group, P.a. | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Jeremy Taylor | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Sherman L Armstrong | General Surgery | Ivy Creek of Elmore LLC | 515 Hospital Dr, Wetumpka, AL 36092-1626 |
| Brian E Richardson | Urology | Jackson Hospital and Clinic, Inc. | 515 Hospital Dr, Suite A, Wetumpka, AL 36092-1626 |
| Spencer Coleman Sr. | Family Medicine | 73970 Tallassee Hwy, Wetumpka, AL 36092-1698 | |
| Bobby J Luster | Chiropractic | 106 Court St, Wetumpka, AL 36092-2709 | |
| Dixie D Kidd | Family Practice | American Family Care Inc | 4452 Us Hwy 231, Wetumpka, AL 36092-3328 |
| Justin D Clutter | Family Practice | American Family Care Inc | 4452 Us Hwy 231, Wetumpka, AL 36092-3328 |
| Charles T Pershing Jr. | Chiropractic | 75928 Tallassee Hwy, Wetumpka, AL 36092-5508 | |
| Find all physicians in zip 36092 | |||
| City | WETUMPKA |
| Zip Code | 36092 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WETUMPKA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on James F Mracek Ii.
| 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.