Hannah M Wilson (NPI# 1902233539, PAC ID# 7214164110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1902233539 |
| PAC ID by PECOS | 7214164110 |
| Professional Enrollment ID | I20131223000668 |
| Full Name | Hannah M Wilson |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Address |
4362 Cascade Rd Se Suite 206 Grand Rapids MI 49546-3670 |
| Phone Number | 6166782070 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779471701 |
| Number of Group Practice Members | 289 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230054 | MARQUETTE GENERAL HOSPITAL |
| 231321 | BELL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4362 Cascade Rd Se, Suite 206, Grand Rapids, MI 49546-3670 | 6166782070 | FOREFRONT DERMATOLOGY SC |
| 500 Campus Dr, Hancock, MI 49930-1452 | 9065232223 | FOREFRONT DERMATOLOGY SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 84% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 63% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 62% |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian Wichterman | Dermatology | Forefront Dermatology Sc | 305 E Eisenhower Pkwy, Suite 320, Ann Arbor, MI 48108-3354 |
| Lindsay Michelle Stevens | Nurse Practitioner | Forefront Dermatology Sc | 2246 N Pointe Dr, Warsaw, IN 46582-9042 |
| Miriam Pearl Finkel | Dermatology | Forefront Dermatology Sc | 2790 Mosside Blvd, Suite 720, Monroeville, PA 15146-2757 |
| Stephanie Mathews Kazantsev | Dermatology | Forefront Dermatology Sc | 2051 Plainfield Rd, Crest Hill, IL 60403-1865 |
| Sonam Rama | Dermatology | Forefront Dermatology Sc | 706 W Huron St, Ann Arbor, MI 48103-4212 |
| Danielle Marie Waymire | Dermatology | Forefront Dermatology Sc | 1320 Pabst Farms Cir, Unit 180, Oconomowoc, WI 53066-4878 |
| Marie Saxon Ford | Nurse Practitioner | Forefront Dermatology Sc | 2333 Ring Rd, Elizabethtown, KY 42701-9162 |
| Sarah Campbell | Dermatology | Forefront Dermatology Sc | 913 Menoher Blvd, Johnstown, PA 15905-2834 |
| Gregory Dougan | Physician Assistant | Forefront Dermatology Sc | 911 N Shelby St, Salem, IN 47167-2304 |
| Emily N Williams | Physician Assistant | Forefront Dermatology Sc | 100 N Town Ctr Rd, Suite C, Mooresville, IN 46158-2322 |
| Street Address |
4362 CASCADE RD SE SUITE 206 |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49546-3670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Milton D Soderberg | Dermatology | Forefront Dermatology Sc | 4362 Cascade Rd Se, Suite 206, Grand Rapids, MI 49546-3670 |
| Adam D Asarch | Dermatology | Forefront Dermatology Sc | 4362 Cascade Rd Se, Suite 206, Grand Rapids, MI 49546-3670 |
| David E Hammond | Dermatology | Forefront Dermatology Sc | 4362 Cascade Rd Se, Suite 206, Grand Rapids, MI 49546-3670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Mushlock | Clinical Social Worker | Pine Rest Christian Mental Health Services | 877 Forest Hills Ave Se, Pine Rest Forest Hills Clinic, Grand Rapids, MI 49546 |
| David W Hamilton | Psychologist, Clinical | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 | |
| Elizabeth Ruth Smith | Clinical Social Worker | 616 Counseling Professional Corporation | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 |
| Shawn L Gauthier | Clinical Social Worker | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546-2137 | |
| Emily M. English | Obstetrics/gynecology | Metropolitan Hospital | 4055 Cascade Rd Se, Metro Hlth Gynecologic Oncology, Grand Rapids, MI 49546-2149 |
| Lydia J Sutton | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Scott A Baar | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Nathan J Andrews | Emergency Medicine | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Lorraine M Therrien | Certified Registered Nurse Anesthetist | Anesthesia Medical Consultants, PC | 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 |
| George D Pommer | Psychologist, Clinical | 500 Cascade W Pkwy Se, Suite 100, Grand Rapids, MI 49546-2164 | |
| Find all physicians in zip 49546 | |||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAND RAPIDS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Hannah M Wilson.
| 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.