Tracey M Davenport (NPI# 1114033826, PAC ID# 5799703245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114033826 |
| PAC ID by PECOS | 5799703245 |
| Professional Enrollment ID | I20051103000670 |
| Full Name | Tracey M Davenport |
| Organization Legal Name | ONSITE HEALTHCARE INC SC |
| Address |
7301 N Lincoln Ave Suite 183 Lincolnwood IL 60712-1736 |
| Phone Number | 8478109095 |
| Gender | F |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153505565 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 | 8478109095 | ONSITE HEALTHCARE INC SC |
| 10 E 22nd St, Suite 207, Lombard, IL 60148-6108 | 6306561422 | PLATINUM HOMECARE MD LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 44% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 44% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% |
| Organization Legal Name | ONSITE HEALTHCARE INC SC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manoj N Mathew | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Richard P Gaskill | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Charlie F Gude | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Mark B Lubienski | Thoracic Surgery | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Partha S Ray | Surgical Oncology | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Ronald Kirschner | General Practice | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Alexander T Kalk | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Zivojin S Pavlovic | Diagnostic Radiology | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Tessa R Fischer | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Kathleen A Ward | Cardiovascular Disease (cardiology) | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Street Address |
7301 N LINCOLN AVE SUITE 183 |
| City | LINCOLNWOOD |
| State | IL |
| Zip | 60712-1736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manoj N Mathew | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Richard P Gaskill | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Charlie F Gude | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Mark B Lubienski | Thoracic Surgery | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Partha S Ray | Surgical Oncology | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Ronald Kirschner | General Practice | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Alexander T Kalk | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Zivojin S Pavlovic | Diagnostic Radiology | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Tessa R Fischer | Family Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Kathleen A Ward | Cardiovascular Disease (cardiology) | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yelana Barsky | Podiatry | Donets Foot and Ankle PC | 3454 W Devon Ave, Lincolnwood, IL 60712-1316 |
| Justin R Gordon | Optometry | 3368 W Devon Ave, Lincolnwood, IL 60712-1317 | |
| Miriam Nuer | Internal Medicine | Presence Healthcare Services | 7380 N Lincoln Ave, Lincolnwood, IL 60712-1705 |
| Julio C Mora | Internal Medicine | Presence Healthcare Services | 7380 N Lincoln Ave, Lincolnwood, IL 60712-1705 |
| Mohammed Amin Gillan | Internal Medicine | Presence Healthcare Services | 7380 N Lincoln Ave, Lincolnwood, IL 60712-1705 |
| James Yeung | Nephrology | Uptown Nephrology Associates Sc | 7301 N Lincoln Ave, Lincolnwood, IL 60712-1735 |
| Tara S Fox | Podiatry | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Michael Vaewhongs | Internal Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| John P Cosgrove | Family Practice | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Robert J Furman | Geriatric Medicine | Onsite Healthcare Inc Sc | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712-1736 |
| Find all physicians in zip 60712 | |||
| City | LINCOLNWOOD |
| Zip Code | 60712 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LINCOLNWOOD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tracey M Davenport.
| 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.