Jeffrey W Sassmannshausen
THREE RIVERS DERMATOLOGY, LLC


Address: 5650 Coventry Ln, Fort Wayne, IN 46804-7140
Phone: 2604369696

Jeffrey W Sassmannshausen (NPI# 1316928195, PAC ID# 5395887012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1316928195
PAC ID by PECOS 5395887012
Professional Enrollment ID I20100119000418
Full Name Jeffrey W Sassmannshausen
Organization Legal Name THREE RIVERS DERMATOLOGY, LLC
Address 5650 Coventry Ln
Fort Wayne
IN 46804-7140
Phone Number 2604369696
Gender M
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty DERMATOLOGY
Group Practice PAC ID 3375685092
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150021 PARKVIEW REGIONAL MEDICAL CENTER
150017 LUTHERAN HOSPITAL OF INDIANA
150101 PARKVIEW WHITLEY HOSPITAL
150045 DEKALB HEALTH
150075 BLUFFTON REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
5650 Coventry Ln, Fort Wayne, IN 46804-7140 2604369696 THREE RIVERS DERMATOLOGY, LLC

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
ACI_EC_TRANS_EP_1 e-Prescribing 92%
ACI_EC_TRANS_HIE_1 Health Information Exchange 74%
ACI_EC_TRANS_MR_1 Medication Reconciliation 99%
ACI_EC_TRANS_PEA_1 Provide Patient Access 62%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 2%
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 67%
ACI_EC_TRANS_SM_1 Secure Messaging 67%

Organization Information

Organization Legal Name THREE RIVERS DERMATOLOGY, LLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Jenifer K Fortney Physician Assistant Three Rivers Dermatology, LLC 5650 Coventry Ln, Fort Wayne, IN 46804-7140
Jacquelyn Ray Beemer Physician Assistant Three Rivers Dermatology, LLC 5650 Coventry Ln, Fort Wayne, IN 46804-7140
A Michelle Ferguson Physician Assistant Three Rivers Dermatology, LLC 5650 Coventry Ln, Fort Wayne, IN 46804-7140

Office Location

Street Address 5650 COVENTRY LN
City FORT WAYNE
State IN
Zip 46804-7140

Physicians in the same location

Name Specialty Organization Address
Jenifer K Fortney Physician Assistant Three Rivers Dermatology, LLC 5650 Coventry Ln, Fort Wayne, IN 46804-7140
Jacquelyn Ray Beemer Physician Assistant Three Rivers Dermatology, LLC 5650 Coventry Ln, Fort Wayne, IN 46804-7140
A Michelle Ferguson Physician Assistant Three Rivers Dermatology, LLC 5650 Coventry Ln, Fort Wayne, IN 46804-7140

Physicians in the same zip code

Name Specialty Organization Address
Kimberly A Griffith Speech Language Pathologist 6205 Constitution Dr, Fort Wayne, IN 46804-1517
Michael Scherbinski Clinical Psychologist Prometheus Psychological Services 6229 Constitution Dr, Fort Wayne, IN 46804-1517
Jessie Whiteman Nurse Practitioner Rp Care LLC 6326 Constitution Dr, Fort Wayne, IN 46804-1518
Monique L M Levesque-hartle Chiropractic Allen County Chiropractic LLC 6320 Constitution Dr, Fort Wayne, IN 46804-1518
Amy Harmeyer Nurse Practitioner Rp Care LLC 6326 Constitution Dr, Fort Wayne, IN 46804-1518
Casey Peterson Nurse Practitioner Rp Care LLC 6326 Constitution Dr, Fort Wayne, IN 46804-1518
Ashley Brown Nurse Practitioner Rp Care LLC 6326 Constitution Dr, Fort Wayne, IN 46804-1518
Nicholas Hammond Physician Assistant Rp Care LLC 6326 Constitution Dr, Fort Wayne, IN 46804-1518
Barbara L Starry Nurse Practitioner Rp Care LLC 6326 Constitution Dr, Fort Wayne, IN 46804-1518
Rochelle L Johnson Nurse Practitioner Rounding Providers 6326 Constitution Dr, Fort Wayne, IN 46804-1518
Find all physicians in zip 46804

Competitor

Search similar physicians

City FORT WAYNE
Zip Code 46804
Specialty DERMATOLOGY
City + Specialty FORT WAYNE + DERMATOLOGY

Improve Information

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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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