Peter A Jacobson (NPI# 1417915190, PAC ID# 3476684812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1417915190 |
| PAC ID by PECOS | 3476684812 |
| Professional Enrollment ID | I20101022000639 |
| Full Name | Peter A Jacobson |
| Organization Legal Name | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Address |
2020 Flamingo Dr Bartow FL 33830-4262 |
| Phone Number | 8635334104 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3971678558 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| 100243 | BRANDON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2020 Flamingo Dr, Bartow, FL 33830-4262 | 8635334104 | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 26% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 81% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 10% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 58% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
| Organization Legal Name | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Physicians | 128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yearim Gutierrez Cotto | Internal Medicine | Wellmed Medical Management of Florida Inc | 415 W 49th St, Suite 1, Hialeah, FL 33012-3637 |
| Tina Marie Fitch Carter | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2701 W Saint Isabel St, Tampa, FL 33607-6324 |
| Barbara Muniz | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 13301 N Dale Mabry Hwy, Suite A, Tampa, FL 33618-2400 |
| Kimberly Anne Channels | Physician Assistant | Wellmed Medical Management of Florida Inc | 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 |
| Charlotte Ann Hall | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 11924 Sheldon Rd, Tampa, FL 33626-3643 |
| Hannah M Beavers | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4278 W Linebaugh Ave, Suite B, Tampa, FL 33624-5241 |
| Melissa Pierre | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 1685 Gulf To Bay Blvd, Clearwater, FL 33755-6422 |
| Andrew P Chase | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 6350 Central Ave, St Petersburg, FL 33707-1430 |
| Holger Fabrizio Montesdeoca | Internal Medicine | Wellmed Medical Management of Florida Inc | 5979 Vineland Rd, Suite 208, Orlando, FL 32819-7855 |
| Sarkis Barupian | Family Practice | Wellmed Medical Management of Florida Inc | 6092sefederal Hwy, Stuart, FL 34997-8101 |
| Street Address |
2020 FLAMINGO DR |
| City | BARTOW |
| State | FL |
| Zip | 33830-4262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Howard | Physician Assistant | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Deborah Ann Vaccarello | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Stephanie Rebekah Moore | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Larnel P Sultan | Family Medicine | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Tara M Calise | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Alicia Beatriz Saunders | Internal Medicine | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Ashley Morris Wicks | Physician Assistant | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Stephanie Marie Knapp | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca C Duvall | Chiropractic | 1335 Hwy 17 S, Bartow, FL 33830 | |
| Adam C Parker | Family Medicine | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Dane V Parker | Chiropractic | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Barry P Nash | Internal Medicine | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Allen Michael Fisher | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Christopher C Whitney | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| James R Smith | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Anid O Orbezo Phelps | Family Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Howard Nelson Chipman Iii | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Gregory Baisden | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Find all physicians in zip 33830 | |||
| City | BARTOW |
| Zip Code | 33830 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BARTOW + INTERNAL MEDICINE |
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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.