Mark J Piacentini (NPI# 1568478626, PAC ID# 7214944289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1568478626 |
| PAC ID by PECOS | 7214944289 |
| Professional Enrollment ID | I20060315000821 |
| Full Name | Mark J Piacentini |
| Organization Legal Name | PROSPECT FAMILY MEDICINE, INC. |
| Address |
102 E Water St Prospect OH 43342-0203 |
| Phone Number | 7404942624 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8527251313 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| 360011 | MARION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 102 E Water St, Prospect, OH 43342-0203 | 7404942624 | PROSPECT FAMILY MEDICINE, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PROSPECT FAMILY MEDICINE, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Ledwick | Nurse Practitioner | Prospect Family Medicine, Inc. | 102 E Water St, Prospect, OH 43342-0203 |
| Street Address |
102 E WATER ST |
| City | PROSPECT |
| State | OH |
| Zip | 43342-0203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Ledwick | Nurse Practitioner | Prospect Family Medicine, Inc. | 102 E Water St, Prospect, OH 43342-0203 |
| City | PROSPECT |
| Zip Code | 43342 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PROSPECT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark J Piacentini.
| 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.