Mark Raymond Hanley (NPI# 1063487676, PAC ID# 4385539618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1063487676 |
| PAC ID by PECOS | 4385539618 |
| Professional Enrollment ID | I20040217000233 |
| Full Name | Mark Raymond Hanley |
| Organization Legal Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Address |
655 S Apollo Blvd Melbourne FL 32901-1485 |
| Phone Number | 3217512707 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4486558012 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100315 | VIERA HOSPITAL |
| 100177 | CAPE CANAVERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 655 S Apollo Blvd, Melbourne, FL 32901-1485 | 3217512707 | MEDICAL ASSOCIATES OF BREVARD LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 61% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 32% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 87% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 19% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 19% | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 100% | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_358_overall | Patient-Centered Surgical Risk Assessment and Communication | 2% |
| Organization Legal Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Jane Lis | Nurse Practitioner | Medical Associates of Brevard LLC | 1380 S Patrick Dr, Suite 1, Satellite Bch, FL 32937-4375 |
| Kaitlin M Lassen | Physician Assistant | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Melbourne, FL 32935-3166 |
| Jacquelyn Merrill | Nurse Practitioner | Medical Associates of Brevard LLC | 5200 Babcock St Ne, Suite 103, Palm Bay, FL 32905-4639 |
| Holly Carter Bell | Nurse Practitioner | Medical Associates of Brevard LLC | 402 N Babcock St, Suite 102, Melbourne, FL 32935-7335 |
| James D Kearney | Internal Medicine | Medical Associates of Brevard LLC | 580 N Wickham Rd, Suite A, Melbourne, FL 32935-8400 |
| Sudeshna Mitra | Internal Medicine | Medical Associates of Brevard LLC | 397 N Wickham Rd, Suite 101, Melbourne, FL 32935-8669 |
| John Turse | Gastroenterology | Medical Associates of Brevard LLC | 200 Michigan Ave, Melbourne, FL 32901-3100 |
| Parvesh K Bansal | Pulmonary Disease | Medical Associates of Brevard LLC | 1400 Pine St, Melbourne, FL 32901-3170 |
| James T Go | Otolaryngology | Medical Associates of Brevard LLC | 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3134 |
| Mudanai Panneerselvam Sabapathy | Internal Medicine | Medical Associates of Brevard LLC | 3044 W New Haven Ave, West Melbourne, FL 32904-3566 |
| Street Address |
655 S APOLLO BLVD |
| City | MELBOURNE |
| State | FL |
| Zip | 32901-1485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Iris J Swiderski | Physician Assistant | Medical Associates of Brevard LLC | 655 S Apollo Blvd, Melbourne, FL 32901-1485 |
| Peter S Dovgan | Vascular Surgery | Medical Associates of Brevard LLC | 655 S Apollo Blvd, Melbourne, FL 32901-1485 |
| Robert Kraemer | Nurse Practitioner | Medical Associates of Brevard LLC | 655 S Apollo Blvd, Melbourne, FL 32901-1485 |
| Kate Bomar | Physician Assistant | Medical Associates of Brevard LLC | 655 S Apollo Blvd, Melbourne, FL 32901-1485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Else | Physical Therapy | 18 W Ave 'b' Unit, Suite 4, Melbourne, FL 32901-1219 | |
| Yanqing Gu | Internal Medicine | 551 S Apollo Blvd, Suite 103, Melbourne, FL 32901-1274 | |
| Richard J Wecker | Chiropractic | 551 S Apollo Blvd, Suite 105, Melbourne, FL 32901-1274 | |
| Ralph Zipper | Urology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| James Loras Raders | Obstetrics/gynecology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| Brian J Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Claudia R Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Ana Marisol Conde Rosa | Infectious Disease | Project Response Inc | 745 S Apollo Blvd, Melbourne, FL 32901-1457 |
| Monica L Wise | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Heather M Weeks | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Find all physicians in zip 32901 | |||
| City | MELBOURNE |
| Zip Code | 32901 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MELBOURNE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Mark Raymond Hanley.
| 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.