Ronaldo V Dejesus (NPI# 1962552448, PAC ID# 6608857537) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1962552448 |
| PAC ID by PECOS | 6608857537 |
| Professional Enrollment ID | I20060119000557 |
| Full Name | Ronaldo V Dejesus |
| Address |
74186 Tallassee Hwy Wetumpka AL 36092-5643 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010024 | JACKSON HOSPITAL & CLINIC INC |
| Address | Phone | Organization |
|---|---|---|
| 1722 Pine St, Montgomery, AL 36106-1160 | JACKSON HOSPITAL AND CLINIC, INC. | |
| 1725 Pine St, Montgomery, AL 36106-1109 | ||
| 1725 Pine St, Montgomery, AL 36106-1109 | JACKSON HOSPITAL AND CLINIC, INC. | |
| 4465 Narrow Lane Rd, Montgomery, AL 36116-2953 | ||
| 74186 Tallassee Hwy, Wetumpka, AL 36092-5643 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% |
| Street Address |
74186 TALLASSEE HWY |
| City | WETUMPKA |
| State | AL |
| Zip | 36092-5643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corey Walker | Physical Therapy | Aldridge Physical Therapy, LLC | 74186 Tallassee Hwy, Wetumpka, AL 36092-5643 |
| Jason Weaver | Physical Therapy | Aldridge Physical Therapy, LLC | 74186 Tallassee Hwy, Wetumpka, AL 36092-5643 |
| Tommy W Garnett | Podiatry | 74186 Tallassee Hwy, Suite A, Wetumpka, AL 36092-5644 | |
| Dennis Pritzel | Podiatry | Tommy W Garnett Dpm | 74186 Tallassee Hwy, Suite A, Wetumpka, AL 36092-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi I Criswell | Nurse Practitioner | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| James F Mracek Ii | Family Practice | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| Janice M Seip | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Scott Berl | Diagnostic Radiology | Radiology Group, P.a. | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Jeremy Taylor | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Sherman L Armstrong | General Surgery | Ivy Creek of Elmore LLC | 515 Hospital Dr, Wetumpka, AL 36092-1626 |
| Brian E Richardson | Urology | Jackson Hospital and Clinic, Inc. | 515 Hospital Dr, Suite A, Wetumpka, AL 36092-1626 |
| Spencer Coleman Sr. | Family Medicine | 73970 Tallassee Hwy, Wetumpka, AL 36092-1698 | |
| Bobby J Luster | Chiropractic | 106 Court St, Wetumpka, AL 36092-2709 | |
| Dixie D Kidd | Family Practice | American Family Care Inc | 4452 Us Hwy 231, Wetumpka, AL 36092-3328 |
| Find all physicians in zip 36092 | |||
| City | WETUMPKA |
| Zip Code | 36092 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WETUMPKA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ronaldo V Dejesus.
| 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.