Caroline A Mcdonald (NPI# 1770872798, PAC ID# 4587889233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1770872798 |
| PAC ID by PECOS | 4587889233 |
| Professional Enrollment ID | I20160707001656 |
| Full Name | Caroline A Mcdonald |
| Organization Legal Name | REFRESH CANOPY COVE, INC |
| Address |
200 3rd Ave W 100 Comprehensive Medpsych Bradenton FL 34205-8628 |
| Phone Number | 9413466460 |
| Gender | F |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 3779822119 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 3rd Ave W, 100 Comprehensive Medpsych, Bradenton, FL 34205-8628 | 9413466460 | REFRESH CANOPY COVE, INC |
| 200 3rd W Ave, Bradenton, FL 34205-8626 | 9413630878 | COMPREHENSIVE MEDPSYCH SYSTEMS, INC. |
| 1090 S Tamiami Trl, Sarasota, FL 34236-9116 | 9413630878 | REFRESH CANOPY COVE, INC |
| 1090 S Tamiami Trl, Sarasota, FL 34236-9116 | COMPREHENSIVE MEDPSYCH SYSTEMS, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 0% |
| Organization Legal Name | REFRESH CANOPY COVE, INC |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin R Harrison | Psychiatry | Refresh Canopy Cove, Inc | 7540 Cipriano Ct, Suite B, Fairhope, AL 36532-3029 |
| Kayla Jane Davidson | Psychiatry | Refresh Canopy Cove, Inc | 5251 Emerson St, Comprehensive Medpsych, Jacksonville, FL 32207-4932 |
| Michael H Leblond | Psychologist, Clinical | Refresh Canopy Cove, Inc | 6320 Venture Dr, Suite 203, Lakewood Ranch, FL 34202-5132 |
| Justin M Simpson | Psychologist, Clinical | Refresh Canopy Cove, Inc | 1300 Marsh Landing Pkwy, Suite 112, Jacksonville Beach, FL 32250-2407 |
| Karola Thurman | Clinical Social Worker | Refresh Canopy Cove, Inc | 1100 S Ponce De Leon Blvd, 1 Comprehensive Medpsych Systems, St Augustine, FL 32084-6013 |
| Judi Mcinerney | Psychologist, Clinical | Refresh Canopy Cove, Inc | 13099 S Cleveland Ave, 300 Comprehensive Medpsych, Fort Myers, FL 33907-3835 |
| Angela Gibson | Clinical Social Worker | Refresh Canopy Cove, Inc | 1090 S Tamiami Trl, Sarasota, FL 34236-9116 |
| Dale G Simpson | Psychologist, Clinical | Refresh Canopy Cove, Inc | 871 Venetia Bay Blvd, Suite 310, Venice, FL 34285-8054 |
| Christine Holmes | Clinical Social Worker | Refresh Canopy Cove, Inc | 1110 Montlimar Dr, Suite 500, Mobile, AL 36609-1794 |
| Jacqueline D Boutrouille | Psychiatry | Refresh Canopy Cove, Inc | 7880 N University Dr, 303 Comprehensive Medpsych Systems, Tamarac, FL 33321-2124 |
| Street Address |
200 3RD AVE W 100 COMPREHENSIVE MEDPSYCH |
| City | BRADENTON |
| State | FL |
| Zip | 34205-8628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aisha Mohsin Malik | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Amanda S Urzykowski | Certified Registered Nurse Anesthetist (crna) | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Theresa A Lovett | Certified Registered Nurse Anesthetist (crna) | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Vivian C Faircloth | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Daniel Wolfe | Anesthesiology | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Peter E Da Rold | Anesthesiology | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Shannon Nicole Hall | Nurse Practitioner | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| John R Ayres | Orthopedic Surgery | Vigafra Pllc | 200 3rd Ave W, Suite 170, Brandenton, FL 34205-8626 |
| Nisha Pradeep | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Patricia K Walther | Certified Registered Nurse Anesthetist (crna) | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arleta A Kitlas | Internal Medicine | 3915 8th Ave W, Bradenton, FL 34205-1701 | |
| Pamela C Chapman | Osteopathic Manipulative Medicine | 3930 8th Ave W, Bradenton, FL 34205-1702 | |
| Daniel J Serpentelli | Chiropractic | 3806 Manatee Ave W, Suite 100, Bradenton, FL 34205-1714 | |
| Brian T Mckinley | Rheumatology | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Daniel H Ober | Physician Assistant | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Camilo L Cabrera | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| David P Divita | Family Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Carlos M Rodriguez-mendoza | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Cheung T Teav | Physical Therapy | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Andrew M Guzman | Family Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Find all physicians in zip 34205 | |||
| City | BRADENTON |
| Zip Code | 34205 |
| Specialty | PSYCHIATRY |
| City + Specialty | BRADENTON + PSYCHIATRY |
Please comment or provide details below to improve the information on Caroline A Mcdonald.
| 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.