Richard Kwasi Agbeko Kessey
CANTRELL LAKE INPATIENT SERVICES LLC


Address: 200 Allen Memorial Dr, Bremen, GA 30110-2012
Phone: 7708122000

Richard Kwasi Agbeko Kessey (NPI# 1760496228, PAC ID# 5395749360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1760496228
PAC ID by PECOS 5395749360
Professional Enrollment ID I20060905000523
Full Name Richard Kwasi Agbeko Kessey
Organization Legal Name CANTRELL LAKE INPATIENT SERVICES LLC
Address 200 Allen Memorial Dr
Bremen
GA 30110-2012
Phone Number 7708122000
Gender M
Credential MD
Graduation Year 2001
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 1254604101
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250050 OCH REGIONAL MEDICAL CENTER
420009 GHS OCONEE MEMORIAL HOSPITAL
111320 HIGGINS GENERAL HOSPITAL
250100 BAPTIST MEM HOSP/ GOLDEN TRIANGLE INC
250020 WEBSTER GENERAL HOSPITAL/ SWING BED

Other Locations

Address Phone Organization
200 Allen Memorial Dr, Bremen, GA 30110-2012 7708122000 CANTRELL LAKE INPATIENT SERVICES LLC
301 Memorial Dr, Suite F, Seneca, SC 29672-9445 8648857758 PRISMA HEALTH UNIVERSITY MEDICAL GROUP
400 Hospital Rd, Starkville, MS 39759-2163 6626152830 OCH PROFESSIONAL SERVICES

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name CANTRELL LAKE INPATIENT SERVICES LLC
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Janice K Bain Internal Medicine Cantrell Lake Inpatient Services LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Habigaile Cribe Internal Medicine Cantrell Lake Inpatient Services LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Muhammad A Pervaiz Hospitalist Cantrell Lake Inpatient Services LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Joel D Megli Internal Medicine Cantrell Lake Inpatient Services LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Emem Udo Hospitalist Cantrell Lake Inpatient Services LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Gary J Rzeznik Internal Medicine Cantrell Lake Inpatient Services LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Igor V Legostaev Internal Medicine Cantrell Lake Inpatient Services LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Robert J Holloway Internal Medicine Cantrell Lake Inpatient Services LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012

Office Location

Street Address 200 ALLEN MEMORIAL DR
City BREMEN
State GA
Zip 30110-2012

Physicians in the same location

Name Specialty Organization Address
Odessa K Spraggins Anesthesiology Tmc-west Georgia Anesthesia Associates Inc. 200 Allen Memorial Dr, Bremen, GA 30110-2012
Gaston G Foderingham Emergency Medicine Independence Emergency Physicians LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Michael G Hamner Anesthesiology Tmc-west Georgia Anesthesia Associates Inc. 200 Allen Memorial Dr, Bremen, GA 30110-2012
Tracey M Ragsdale Anesthesiology Tmc-west Georgia Anesthesia Associates Inc. 200 Allen Memorial Dr, Bremen, GA 30110-2012
Janice K Bain Internal Medicine Cantrell Lake Inpatient Services LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Alexandre F Morin Diagnostic Radiology Georgia West Imaging PC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Natalie M Shields Certified Registered Nurse Anesthetist (crna) Tmc-west Georgia Anesthesia Associates Inc. 200 Allen Memorial Dr, Bremen, GA 30110-2012
Alyssia N Howard Anesthesiology Tmc-west Georgia Anesthesia Associates Inc. 200 Allen Memorial Dr, Bremen, GA 30110-2012
Jeffrey R Dishman Certified Registered Nurse Anesthetist (crna) Tmc-west Georgia Anesthesia Associates Inc. 200 Allen Memorial Dr, Bremen, GA 30110-2012
Michael B Eckert Emergency Medicine Independence Emergency Physicians LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Allison L Key Family Medicine 222 Gordon St, Bremen, GA 30110-1519
Steve Odeh General Practice 509 Alabama S Ave, Bremen, GA 30110-2007
Ralph J Templeton Chiropractic 507 Alabama Ave, Bremen, GA 30110-2007
Janice May Wilder Nurse Practitioner Bremen Family Health and Wellness 509 Alabama S Ave, Bremen, GA 30110-2007
Samuel L Ogden Internal Medicine 109 B Allen Memorial Dr, Bremen, GA 30110-2009
In Sook Kim General Practice Haralson Medical Clinic PC 201 Allen Memorial Dr, Bremen, GA 30110-2011
Pyung Kim General Surgery Haralson Medical Clinic PC 201 Allen Memorial Dr, Bremen, GA 30110-2011
David J Herren Ophthalmology Harbin Clinic LLC 200 Allen Memorial Dr, Bremen, GA 30110-2012
Bradley J.g. Larson Hematology/oncology Northwest Georgia Oncology Centers, PC 200 Allen Memorial Dr, 302b, Bremen, GA 30110-2012
Richard B Davis Anesthesiology Tmc-west Georgia Anesthesia Associates Inc. 200 Allen Memorial Dr, Bremen, GA 30110-2012
Find all physicians in zip 30110

Competitor

Search similar physicians

City BREMEN
Zip Code 30110
Specialty INTERNAL MEDICINE
City + Specialty BREMEN + INTERNAL MEDICINE

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Dataset Information

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.

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