Charles William Bartholome (NPI# 1487656443, PAC ID# 6406988930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1487656443 |
| PAC ID by PECOS | 6406988930 |
| Professional Enrollment ID | I20100720000422 |
| Full Name | Charles William Bartholome |
| Organization Legal Name | DERMATOLOGY CLINIC OF MUNCIE, INC. |
| Address |
1808 W Royale Dr Muncie IN 47304-2243 |
| Phone Number | 7652888188 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1153453683 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150011 | MARION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1808 W Royale Dr, Muncie, IN 47304-2243 | 7652888188 | DERMATOLOGY CLINIC OF MUNCIE, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 92% |
| Organization Legal Name | DERMATOLOGY CLINIC OF MUNCIE, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gennady Chernyak | Physician Assistant | Dermatology Clinic of Muncie, Inc. | 1808 W Royale Dr, Muncie, IN 47304-2243 |
| Street Address |
1808 W ROYALE DR |
| City | MUNCIE |
| State | IN |
| Zip | 47304-2243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gennady Chernyak | Physician Assistant | Dermatology Clinic of Muncie, Inc. | 1808 W Royale Dr, Muncie, IN 47304-2243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna Sue Cray | Chiropractic | 4721 N Wheeling Ave, Muncie, IN 47304-1222 | |
| Sai R Karlapudi | Allergy/immunology | 4505 N Wheeling Ave, Muncie, IN 47304-1284 | |
| Kenneth Patterson | Oral Surgery | 1608 W Yale Ave, Muncie, IN 47304-1569 | |
| Michael J Jobe | Chiropractic | Clear Chiropractic Indiana, LLC | 3895 N Wheeling Ave, Clear Choice Chiropractic, Muncie, IN 47304-1776 |
| Kim L Neibert | Chiropractic | 3504 N Wheeling Ave, Muncie, IN 47304-2042 | |
| Samuel R Simmons | Optometry | 1608 W Mcgalliard Rd, Muncie, IN 47304-2205 | |
| Linh T Vu | Chiropractic | 1816 W Royale Dr, Muncie, IN 47304-2243 | |
| Kristin Perrone-mcgovern | Psychologist, Clinical | Psychological Assessment and Consulting, PC | 1806 W Royale Dr, Muncie, IN 47304-2243 |
| Alan Maugherman | Psychologist, Clinical | Psychological Assessment and Consulting, PC | 1806 W Royale Dr, Muncie, IN 47304-2243 |
| Deborah J Miller | Clinical Psychologist | Psychological Assessment and Consulting, PC | 1806 W Royale Dr, Muncie, IN 47304-2243 |
| Find all physicians in zip 47304 | |||
| City | MUNCIE |
| Zip Code | 47304 |
| Specialty | DERMATOLOGY |
| City + Specialty | MUNCIE + DERMATOLOGY |
Please comment or provide details below to improve the information on Charles William Bartholome.
| 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.