Tamera Jo Wolf (NPI# 1356342232, PAC ID# 6800799198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356342232 |
| PAC ID by PECOS | 6800799198 |
| Professional Enrollment ID | I20090505000163 |
| Full Name | Tamera Jo Wolf |
| Organization Legal Name | DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
| Address |
17067 E Outer Rd Suite 200 Belton MO 64012-2100 |
| Phone Number | 9134517546 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294721486 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| 260214 | BELTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17067 E Outer Rd, Suite 200, Belton, MO 64012-2100 | 9134517546 | DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
| 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 | 8165244747 | DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
| 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 | 96% | |
| 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) | 1% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 79% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 88% |
| Organization Legal Name | DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn D Goldstein | Dermatology | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Kevin M Teel | Nurse Practitioner | Dermatology and Skin Cancer Specialists LLC | 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 |
| Leslie L Turk | Dermatology | Dermatology and Skin Cancer Specialists LLC | 9314 Normandie Dr, Shreveport, LA 71118-3866 |
| Elizabeth A Spenceri | Dermatology | Dermatology and Skin Cancer Specialists LLC | 7901 W 135th St, Overland Park, KS 66223-1201 |
| Christopher Chase Surek | Plastic and Reconstructive Surgery | Dermatology and Skin Cancer Specialists LLC | 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 |
| Nicholas Crowley | Dermatology | Dermatology and Skin Cancer Specialists LLC | 8380 N Tullis Ave, Kansas City, MO 64158-7612 |
| Kathryn Lee Serowka Lane | Dermatology | Dermatology and Skin Cancer Specialists LLC | 8380 N Tullis Ave, Kansas City, MO 64158-7612 |
| Colin A Ruff | Dermatology | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Julie Ann Green | Dermatology | Dermatology and Skin Cancer Specialists LLC | 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 |
| Mark H Fleischman | Dermatology | Dermatology and Skin Cancer Specialists LLC | 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 |
| Street Address |
17067 E OUTER RD SUITE 200 |
| City | BELTON |
| State | MO |
| Zip | 64012-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Breann K Smith | Hospitalist | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Melissa S Campbell | Nurse Practitioner | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| John Paul Armilio | Family Medicine | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Nilofar D Rahman | Hospitalist | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Amy W Gemperli | Ophthalmology | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Amy E Ciccio | Ophthalmology | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Ginger E Cline | Optometry | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Alan E Bauman | Ophthalmology | State Line Eye Care Center, PC | 424 E N Ave, Cass County Eye Care Ctr, Belton, MO 64012-2017 |
| Rick D Thomas | Clinical Psychologist | 409 N Scott Ave, Belton, MO 64012-2035 | |
| Robert A Bondi | Podiatry | 115 Bradford Lane, Belton, MO 64012-2086 | |
| Find all physicians in zip 64012 | |||
| City | BELTON |
| Zip Code | 64012 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BELTON + NURSE PRACTITIONER |
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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.