Jay M Wilkins (NPI# 1932125093, PAC ID# 6305817701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1932125093 |
| PAC ID by PECOS | 6305817701 |
| Professional Enrollment ID | I20040802000070 |
| Full Name | Jay M Wilkins |
| Organization Legal Name | VITA PARK EYE ASSOCIATES SC |
| Address |
240 Corporate Dr Beaver Dam WI 53916-3115 |
| Phone Number | 9208871151 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2000 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8527956754 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520076 | BEAVER DAM COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 240 Corporate Dr, Beaver Dam, WI 53916-3115 | 9208871151 | VITA PARK EYE ASSOCIATES SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | VITA PARK EYE ASSOCIATES SC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory Alan Springstroh | Optometry | Vita Park Eye Associates Sc | 240 Corporate Dr, Beaver Dam, WI 53916-3115 |
| Charles P Hendrix | Optometry | Vita Park Eye Associates Sc | 140 Gateway Dr, Waupun, WI 53963-2276 |
| Thomas A Castillo | Ophthalmology | Vita Park Eye Associates Sc | 240 Corporate Dr, Beaver Dam, WI 53916-3115 |
| Erik O Schoff | Ophthalmology | Vita Park Eye Associates Sc | 140 Gateway Dr, Waupun, WI 53963-2276 |
| Street Address |
240 CORPORATE DR |
| City | BEAVER DAM |
| State | WI |
| Zip | 53916-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory Alan Springstroh | Optometry | Vita Park Eye Associates Sc | 240 Corporate Dr, Beaver Dam, WI 53916-3115 |
| Thomas A Castillo | Ophthalmology | Vita Park Eye Associates Sc | 240 Corporate Dr, Beaver Dam, WI 53916-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Mark Kluewer | Chiropractic | 1229 N Ctr St, Beaver Dam, WI 53916-1147 | |
| Jill A Rubert | Chiropractic | Rubert Chiropractic Ltd | 1229 N Ctr St, Beaver Dam, WI 53916-1147 |
| Thomas W Hyke | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Kimberly Ruth Schoenberger | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Leon S Kuhs | Psychiatry | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| James O Niemeier | Clinical Psychologist | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| Jerome Edward Tyjeski | Chiropractic | 119 E Mackie St, Beaver Dam, WI 53916-2031 | |
| Matthew C Niesen | Orthopedic Surgery | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Brianne Trevorrow | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Bret A Achterberg | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Find all physicians in zip 53916 | |||
| City | BEAVER DAM |
| Zip Code | 53916 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BEAVER DAM + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jay M Wilkins.
| 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.