Mark D Walsh (NPI# 1265473813, PAC ID# 4981628849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1265473813 |
PAC ID by PECOS | 4981628849 |
Professional Enrollment ID | I20060118000416 |
Full Name | Mark D Walsh |
Organization Legal Name | MARK D WALSH |
Address |
7611 Hwy 76 C Pendleton SC 29670-9162 |
Phone Number | 8645465570 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
Graduation Year | 1996 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1850517145 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420027 | ANMED HEALTH |
Address | Phone | Organization |
---|---|---|
7611 Hwy 76 C, Pendleton, SC 29670-9162 | 8645465570 | MARK D WALSH |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 99% | |
MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
MIPS_EC_113_overall | Colorectal Cancer Screening | 100% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
Organization Legal Name | MARK D WALSH |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charlotte A G Branyon | Nurse Practitioner | Mark D Walsh | 7611 Hwy 76 C, Pendleton, SC 29670-9162 |
Street Address |
7611 HWY 76 C |
City | PENDLETON |
State | SC |
Zip | 29670-9162 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charlotte A G Branyon | Nurse Practitioner | Mark D Walsh | 7611 Hwy 76 C, Pendleton, SC 29670-9162 |
Name | Specialty | Organization | Address |
---|---|---|---|
Audrey S Jones | Family Practice | Anmed Health | 1005 Meehan Way, Pendleton, SC 29670-1860 |
James Henderson Walker Iii | Family Medicine | 5304 Hwy 76, Pendleton, SC 29670-9139 | |
Frank W Forgnoni | Optometry | Innovative Vision Center LLC | 7611 Hwy 76, Suite B, Pendleton, SC 29670-9162 |
City | PENDLETON |
Zip Code | 29670 |
Specialty | FAMILY MEDICINE |
City + Specialty | PENDLETON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark D Walsh.
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.