Jaenell Lynn Ditsious (NPI# 1235417262, PAC ID# 7012188154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235417262 |
| PAC ID by PECOS | 7012188154 |
| Professional Enrollment ID | I20161101000497 |
| Full Name | Jaenell Lynn Ditsious |
| Organization Legal Name | ASSOCIATED MEDICAL SPECIALISTS PA |
| Address |
817 Farrar Dr Conway SC 29526-4111 |
| Phone Number | 8432341660 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456265503 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420049 | CONWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 817 Farrar Dr, Conway, SC 29526-4111 | 8432341660 | ASSOCIATED MEDICAL SPECIALISTS PA |
| 8121 Rourk St, Myrtle Beach, SC 29572-4128 | 8436925000 | ASSOCIATED MEDICAL SPECIALISTS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 94% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 88% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 18% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 100% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 21% | |
| MIPS_EC_143_overall | Oncology: Medical and Radiation - Pain Intensity Quantified | 100% |
| Organization Legal Name | ASSOCIATED MEDICAL SPECIALISTS PA |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan A Henderson | Hematology/oncology | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Stephanie J Hightower | Nurse Practitioner | Associated Medical Specialists Pa | 8121 Rourk St, Myrtle Beach, SC 29572-4128 |
| Emily Z Touloukian | Hematology/oncology | Associated Medical Specialists Pa | 3008 Bayboro St, Loris, SC 29569-2714 |
| Tanya C Bralley | Physician Assistant | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Colleen E Farley | Nurse Practitioner | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Katerina A Erokhina | Hematology/oncology | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Nanette C Kelly | Nurse Practitioner | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Rebecca Jane Heichel | Physician Assistant | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Renwick N Goldberg | Hematology/oncology | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Dejuania A Brown | Hematology/oncology | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Street Address |
817 FARRAR DR |
| City | CONWAY |
| State | SC |
| Zip | 29526-4111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan A Henderson | Hematology/oncology | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Tanya C Bralley | Physician Assistant | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Colleen E Farley | Nurse Practitioner | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Katerina A Erokhina | Hematology/oncology | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Nanette C Kelly | Nurse Practitioner | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Rebecca Jane Heichel | Physician Assistant | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Renwick N Goldberg | Hematology/oncology | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Dejuania A Brown | Hematology/oncology | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Megan Jean Steljes | Nurse Practitioner | Associated Medical Specialists Pa | 817 Farrar Dr, Conway, SC 29526-4111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONWAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jaenell Lynn Ditsious.
| 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.