Tara N Vandewyngaerde (NPI# 1528264603, PAC ID# 7113011719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1528264603 |
| PAC ID by PECOS | 7113011719 |
| Professional Enrollment ID | I20070913000143 |
| Full Name | Tara N Vandewyngaerde |
| Address |
700 14th Ave Mendota IL 61342-1412 |
| Gender | F |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2007 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 700 14th Ave, Mendota, IL 61342-1412 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
700 14TH AVE |
| City | MENDOTA |
| State | IL |
| Zip | 61342-1412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linnea L Person | Chiropractic | 1301 14th Ave, Mendota, IL 61342-1001 | |
| Cynthia A Becker | Chiropractic | 1403 E Main St, Mendota, IL 61342-1077 | |
| Donald W Piller | Chiropractic | 1312 Lakewood Dr, Mendota, IL 61342-1096 | |
| Mary M Chinn | Family Medicine | Mendota Community Hospital | 1404 Washington St, Mendota, IL 61342-1471 |
| Zachary J Fulton | Family Medicine | Mendota Community Hospital | 1404 Washington St, Mendota, IL 61342-1471 |
| Joy R Preciado | Nurse Practitioner | Community Health Partnership of Illinois | 1009 Main St, Mendota, IL 61342-1604 |
| Rebecca J Amble | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Suite A, Mendota, IL 61342-1682 |
| Dawn H Mccollom | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Suite A, Mendota, IL 61342-1682 |
| Mary A Liddle | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Mendota, IL 61342-1682 |
| Kathryn M Zeman | Physician Assistant | 1201 Meriden St, Mendota, IL 61342-2501 | |
| Find all physicians in zip 61342 | |||
| City | MENDOTA |
| Zip Code | 61342 |
| Specialty | OPTOMETRY |
| City + Specialty | MENDOTA + OPTOMETRY |
Please comment or provide details below to improve the information on Tara N Vandewyngaerde.
| 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.