Kathleen Bertuna (NPI# 1770784613, PAC ID# 6305912551) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1770784613 |
| PAC ID by PECOS | 6305912551 |
| Professional Enrollment ID | I20080911000648 |
| Full Name | Kathleen Bertuna |
| Organization Legal Name | ATHENS MEDICAL ASSOCIATES, LLC |
| Address |
819 State Route 664 N Medical Arts Billing Logan OH 43133 |
| Phone Number | 7405948819 |
| Gender | F |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9537112685 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360014 | OHIOHEALTH O'BLENESS HOSPITAL |
| 361330 | HOCKING VALLEY COMMUNITY HOSPITAL |
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 75 Hospital Dr, Suite 260, Athens, OH 45701-2857 | 7405948819 | ATHENS MEDICAL ASSOCIATES, LLC |
| 819 State Route 664 N, Medical Arts Billing, Logan, OH 43133 | 7405948819 | ATHENS MEDICAL ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ATHENS MEDICAL ASSOCIATES, LLC |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Rae Humphrey | Nurse Practitioner | Athens Medical Associates, LLC | 207 5th St, Racine, OH 45771-5012 |
| Crystal Mills | Family Medicine | Athens Medical Associates, LLC | 1950 Mount Saint Marys Dr, Nelsonville, OH 45764-1280 |
| Earl L Driggs | Podiatry | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Mark N Rakowsky | Internal Medicine | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 140, Athens, OH 45701-2858 |
| Frederick E. Soliman | Family Medicine | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 350, Athens, OH 45701-2867 |
| Krista Duval | Family Medicine | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Melinda Eileen Ford | Family Medicine | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Regina Sayers | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 140, Athens, OH 45701-2858 |
| Gina J Wilberger | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 350, Athens, OH 45701-2867 |
| Beverly Anne Wood | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 260, Athens, OH 45701-2857 |
| Street Address |
819 STATE ROUTE 664 N MEDICAL ARTS BILLING |
| City | LOGAN |
| State | OH |
| Zip | 43133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Downs Davis | Nurse Practitioner | Hocking Valley Medical Group, Inc. | 819 State Route 664 N, Logan, OH 43138-8540 |
| David M Vaziri | Orthopedic Surgery | Hocking Valley Medical Group, Inc. | 819 State Route 664 N, Logan, OH 43138-8540 |
| Scott Cryder | Physician Assistant | Hocking Valley Medical Group, Inc. | 819 State Route 664 N, Logan, OH 43138-8540 |
| John W Woltz | General Practice | Hocking Valley Medical Group, Inc. | 819 State Route 664 N, Logan, OH 43138-8540 |
| Mark A Holt | Orthopedic Surgery | Hocking Valley Medical Group, Inc. | 819 State Route 664 N, Logan, OH 43138-8540 |
| City | LOGAN |
| Zip Code | 43133 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LOGAN + OBSTETRICS/GYNECOLOGY |
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| 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.