Roberto A Corpus Jr. (NPI# 1417995432, PAC ID# 7416937982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1417995432 |
| PAC ID by PECOS | 7416937982 |
| Professional Enrollment ID | I20040723001078 |
| Full Name | Roberto A Corpus Jr. |
| Organization Legal Name | MUNSON MEDICAL GROUP |
| Address |
2585 W Houghton Lake Dr Traverse Heart and Vascular Prudenville MI 48651-9624 |
| Phone Number | 2319355800 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 8820277015 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230097 | MUNSON MEDICAL CENTER |
| 230036 | MIDMICHIGAN MEDICAL CENTER - ALPENA |
| 230058 | MUNSON HEALTHCARE GRAYLING HOSPITAL |
| 230133 | OTSEGO MEMORIAL HOSPITAL |
| 230303 | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2585 W Houghton Lake Dr, Traverse Heart and Vascular, Prudenville, MI 48651-9624 | 2319355800 | MUNSON MEDICAL GROUP |
| 1200 6th St, Suite 200, Traverse City, MI 49684-2369 | 2319355800 | MUNSON MEDICAL GROUP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 87% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 14% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 96% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 13% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 44% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 13% | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 97% | |
| MIPS_EC_047_overall | Care Plan | 99% | |
| MIPS_EC_243_overall | Cardiac Rehabilitation Patient Referral from an Outpatient Setting | 33% |
| Organization Legal Name | MUNSON MEDICAL GROUP |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Gerber | Physician Assistant | Munson Medical Group | 1391 E Parkdale Ave, 104 Traverse Heart and Vascular, Manistee, MI 49660-9352 |
| Rebecca J Eichberger | Nurse Practitioner | Munson Medical Group | 1200 6th St, Suite 200, Traverse City, MI 49684-2369 |
| Mark Arthur Elliott | Interventional Cardiology | Munson Medical Group | 419 S Coral St, Traverse Heart and Vascular, Kalkaska, MI 49646-2503 |
| John Beattie | Interventional Cardiology | Munson Medical Group | 1200 6th St, Suite 200, Traverse City, MI 49684-2369 |
| Marjorie L Kelsey | Nurse Practitioner | Munson Medical Group | 1200 6th St, Suite 200, Traverse City, MI 49684-2369 |
| Nancy Jean Harris | Nurse Practitioner | Munson Medical Group | 1200 6th St, Suite 200, Traverse City, MI 49684-2369 |
| Zita Muladore | Nurse Practitioner | Munson Medical Group | 1200 6th St, Suite 200, Traverse City, MI 49684-2369 |
| Colleen Sabatine | Nurse Practitioner | Munson Medical Group | 1200 6th St, Suite 200, Traverse City, MI 49684-2369 |
| Michelle Strange | Physician Assistant | Munson Medical Group | 419 S Coral St, Traverse Heart and Vascular, Kalkaska, MI 49646-2503 |
| Edward Kraska | Nurse Practitioner | Munson Medical Group | 1200 6th St, Suite 200, Traverse City, MI 49684-2369 |
| Street Address |
2585 W HOUGHTON LAKE DR TRAVERSE HEART AND VASCULAR |
| City | PRUDENVILLE |
| State | MI |
| Zip | 48651-9624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl F Schubert | Obstetrics/gynecology | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Cynthia Kay Rubert | Orthopedic Surgery | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Amorette Anderson | Nurse Practitioner | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Mark Edward Dibbet | Family Medicine | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Jay M Ruddy | Nurse Practitioner | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Antoinette M Heliin | Physician Assistant | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Nicholas Blank | Family Medicine | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Jessica Lyn Laorden | Family Medicine | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Matthew Aaron Falkiewicz | Family Medicine | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| James L Gee | Internal Medicine | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis E Boggs | Optometry | Lakeside Vision Inc | 888 W Houghton Lake Dr, Prudenville, MI 48651-0020 |
| Kyle Scott Bates | Optometry | Lakeside Vision Inc | 888 W Houghton Lake Dr, Prudenville, MI 48651-0020 |
| Suzanne A Blanchard | Nurse Practitioner | 1401 Short Dr, Prudenville, MI 48651-8436 | |
| Megan Marie Barnes | Chiropractic | Life Chiropractic and Wellness Center Inc | 1090 W Houghton Lake Dr, Prudenville, MI 48651-9613 |
| Brett A Zubeck | Chiropractic | Life Chiropractic and Wellness Center Inc | 1090 W Houghton Lake Dr, Prudenville, MI 48651-9613 |
| David A Lagattuta | Obstetrics/gynecology | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Ronald L Warner | Nurse Practitioner | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Jason D Bennett | Orthopedic Surgery | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Meghan Noud Dopp | Physician Assistant | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Irena Muca | Family Medicine | Munson Healthcare Grayling | 2585 W Houghton Lake Dr, Prudenville Community Health Center, Prudenville, MI 48651-9624 |
| Find all physicians in zip 48651 | |||
| City | PRUDENVILLE |
| Zip Code | 48651 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | PRUDENVILLE + INTERVENTIONAL CARDIOLOGY |
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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.