Mateo Jurasic (NPI# 1932182219, PAC ID# 3971527276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1932182219 |
| PAC ID by PECOS | 3971527276 |
| Professional Enrollment ID | I20060125000149 |
| Full Name | Mateo Jurasic |
| Organization Legal Name | MCCLOW CLARK AND BERK PA |
| Address |
1670 St Vincent Way Middleburg FL 32068-8447 |
| Phone Number | 9043081219 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587607577 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100307 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
| 100134 | ED FRASER MEMORIAL HOSPITAL |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1800 Barrs St, Jacksonville, FL 32204-4704 | 9043087300 | MCCLOW CLARK AND BERK PA |
| 1670 St Vincent Way, Middleburg, FL 32068-8447 | 9043081219 | MCCLOW CLARK AND BERK PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 95% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 97% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 95% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 96% |
| Organization Legal Name | MCCLOW CLARK AND BERK PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Chafin | Diagnostic Radiology | Mcclow Clark and Berk Pa | 105 Marsh Reed Ln, Ponte Vedra Beach, FL 32082-2173 |
| Nathan T Roth | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1800 Barrs St, Jacksonville, FL 32204-4704 |
| Zachary E Brown | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Michael T Donohue | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1993 Salt Myrtle Ln, Fleming Island, FL 32003-7064 |
| Christopher D Roman | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Joseph L Dunn Jr. | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Ario Rezaei | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Elizabeth A Bathala | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James Wesley Carter | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James M Russell | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Street Address |
1670 ST VINCENT WAY |
| City | MIDDLEBURG |
| State | FL |
| Zip | 32068-8447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chaquanta Enjoli Eberheart | Nurse Practitioner | Hni Medical Services of Florida, LLC | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Danica D Webster | Certified Registered Nurse Anesthetist (crna) | North Florida Anesthesia Consultants Inc | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Milosh Grubor | Anesthesiology | North Florida Anesthesia Consultants Inc | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Glenn A Sliwinski | Certified Registered Nurse Anesthetist (crna) | North Florida Anesthesia Consultants Inc | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Vikram Behera | Internal Medicine | Hni Medical Services of Florida, LLC | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| John C Flanagan | Anesthesiology | North Florida Anesthesia Consultants Inc | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Joseph L Dunn Jr. | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Walter M Soha Jr. | Anesthesiology | North Florida Anesthesia Consultants Inc | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Dalia Elramady | Family Medicine | Hni Medical Services of Florida, LLC | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| James G Chapman | Anesthesiology | North Florida Anesthesia Consultants Inc | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary E Brown | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Christopher D Roman | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Vanessa Seiglie Quinones | Internal Medicine | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Elizabeth A Bathala | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James Wesley Carter | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James M Russell | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Alicia M Rivera | Nurse Practitioner | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Paul Byra | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Kardelina Diaz | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Michelle N Waters | Nurse Practitioner | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Find all physicians in zip 32068 | |||
| City | MIDDLEBURG |
| Zip Code | 32068 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MIDDLEBURG + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mateo Jurasic.
| 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.