Dustin Van Wilkes (NPI# 1497044291, PAC ID# 3870742083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1497044291 |
| PAC ID by PECOS | 3870742083 |
| Professional Enrollment ID | I20140818002432 |
| Full Name | Dustin Van Wilkes |
| Organization Legal Name | OLIVER STREET 5.01(A) INC. |
| Address |
2618 E Bankhead Hwy Dermatology Associates Weatherford TX 76087-9558 |
| Phone Number | 8175945880 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0042464125 |
| Number of Group Practice Members | 135 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 | 8179212838 | OLIVER STREET 5.01(A) INC. |
| 2618 E Bankhead Hwy, Dermatology Associates, Weatherford, TX 76087-9558 | 8175945880 | OLIVER STREET 5.01(A) INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 8% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 8% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 1% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 1% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 75% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 75% |
| Organization Legal Name | OLIVER STREET 5.01(A) INC. |
| Physicians | 142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam Awan | Dermatology | Oliver Street 5.01(a) Inc. | 4701 Medical Ctr Dr, Suite 1b, Mckinney, TX 75069-1831 |
| Trisha Jayantilal Patel | Dermatology | Oliver Street 5.01(a) Inc. | 8210 Walnut Hill Lane Pob 1, Suite 810, Dallas, TX 75231 |
| Calvin Lamont Williams | Dermatology | Oliver Street 5.01(a) Inc. | 9808 N Beach St, 600 Us Dermatology Partners, Fort Worth, TX 76244-6184 |
| Nancy Marchell | Dermatology | Oliver Street 5.01(a) Inc. | 1605 Rock Prairie Rd, Suite 300, College Station, TX 77845-8358 |
| Pamela N Murray | Physician Assistant | Oliver Street 5.01(a) Inc. | 5805 Coit Rd, Suite 203, Plano, TX 75093-6990 |
| Matthew Helm | Dermatology | Oliver Street 5.01(a) Inc. | 815 Pecan Grove Rd E, Us Dermatology Partners, Sherman, TX 75090-1768 |
| Matthew Thomas Hoffmann | Dermatology | Oliver Street 5.01(a) Inc. | 901 Walnut Hill Dr, Dermatology Associates, Longview, TX 75605-5054 |
| Young T Mcmahan | Dermatology | Oliver Street 5.01(a) Inc. | 300 Richland W Circle, 2c Dermatology Associates, Waco, TX 76712-7935 |
| Kelly Jackson | Nurse Practitioner | Oliver Street 5.01(a) Inc. | 1720 S Beckham, 102 Dermatology Associates, Tyler, TX 75701-4464 |
| Christine Lawson | Physician Assistant | Oliver Street 5.01(a) Inc. | 5030 Tennyson Pkwy, Plano, TX 75024-3002 |
| Street Address |
2618 E BANKHEAD HWY DERMATOLOGY ASSOCIATES |
| City | WEATHERFORD |
| State | TX |
| Zip | 76087-9558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell S Wood | Psychologist, Clinical | 4971 E I-20 Service Rd N, Suite 403, Willow Park, TX 76087 | |
| Alan R Hall | Family Medicine | 201 S Oakridge Dr, Oakridge Urgent Care, Hudson Oaks, TX 76087-1793 | |
| Nadeem Ahmed Khan | Emergency Medicine | Tri Cities Urgent Care Pllc | 123 S Ranch House Rd, Willow Park, TX 76087-2649 |
| Brent E Gooden | Nurse Practitioner | Tri Cities Urgent Care Pllc | 123 S Ranch House Rd, Willow Park, TX 76087-2649 |
| Tarah Renee-brixey Bertzyk | Physician Assistant | Tri Cities Urgent Care Pllc | 123 S Ranch House Rd, Willow Park, TX 76087-2649 |
| Scott M Pratho | Emergency Medicine | Tri Cities Urgent Care Pllc | 123 S Ranch House Rd, Willow Park, TX 76087-2649 |
| Shelly Ramsey Powers | Clinical Social Worker | Senior Mental Health Solutions, Lp | 109 Manor Court N, Willow Park, TX 76087-3002 |
| Judith Michele Saunders | Clinical Social Worker | Senior Mental Health Solutions, Lp | 109 Manor Court N, Willow Park, TX 76087-3002 |
| Chandralekha Krishnamurthy | Clinical Social Worker | Senior Mental Health Solutions, Lp | 109 Manor Court N, Willow Park, TX 76087-3002 |
| Brooke Bolliger | Clinical Social Worker | Senior Mental Health Solutions, Lp | 109 Manor Court N, Willow Park, TX 76087-3002 |
| Find all physicians in zip 76087 | |||
| City | WEATHERFORD |
| Zip Code | 76087 |
| Specialty | DERMATOLOGY |
| City + Specialty | WEATHERFORD + DERMATOLOGY |
Please comment or provide details below to improve the information on Dustin Van Wilkes.
| 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.