Ivelisse Michel (NPI# 1952590630, PAC ID# 7618021064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1952590630 |
| PAC ID by PECOS | 7618021064 |
| Professional Enrollment ID | I20090819000384 |
| Full Name | Ivelisse Michel |
| Organization Legal Name | MDICS REHABILITATIVE SERVICES LLC |
| Address |
4615 Einstein Place White Plains MD 20695-4119 |
| Phone Number | 2404482000 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2006 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4981861903 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210035 | UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER |
| 090001 | GEORGE WASHINGTON UNIV HOSPITAL |
| 210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5 Garrett Ave, La Plata, MD 20646-5960 | 4439490814 | MDICS AT CIVISTA LLC |
| 100 Hospital Rd, Prince Frederick, MD 20678-4016 | 4439490814 | MDICS AT CALVERT LLC |
| 4615 Einstein Place, White Plains, MD 20695-4119 | 2404482000 | MDICS REHABILITATIVE SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 93% |
| Organization Legal Name | MDICS REHABILITATIVE SERVICES LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Carla Schell Bowling | Nurse Practitioner | Mdics Rehabilitative Services LLC | 121 Morris Dr, La Plata, MD 20646-4254 |
| Beth Whiteford | Nurse Practitioner | Mdics Rehabilitative Services LLC | 2700 N Charles St, Baltimore, MD 21218-4300 |
| Cecilia S Kim | Internal Medicine | Mdics Rehabilitative Services LLC | 123 Morris Dr, La Plata, MD 20646-4249 |
| Megan Mcgilvray | Nurse Practitioner | Mdics Rehabilitative Services LLC | 2525 W Belvedere, Baltimore, MD 21215-5203 |
| Reshata Mills | Nurse Practitioner | Mdics Rehabilitative Services LLC | 305 College Pkwy, Arnold, MD 21012-2912 |
| Yesha S Patel | Physician Assistant | Mdics Rehabilitative Services LLC | 10450 Lottsford Rd, Mitchellville, MD 20721-2734 |
| Megan N Shroyer | Physician Assistant | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Jennifer R Knode | Physician Assistant | Mdics Rehabilitative Services LLC | 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 |
| Jennifer Lee Riedinger | Internal Medicine | Mdics Rehabilitative Services LLC | 9211 Stuart Ln, Clinton, MD 20735-2712 |
| Street Address |
4615 EINSTEIN PLACE |
| City | WHITE PLAINS |
| State | MD |
| Zip | 20695-4119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vidyasaga Anmangandla | Internal Medicine | 10583 Theodore Green Blvd, White Plains, MD 20695-3022 | |
| Kamakshi Baig | Family Medicine | 4255 Altamont Pl, Suite 203, White Plains, MD 20695-3024 | |
| Patricia Lee Mckay | Orthopedic Surgery | Centers for Advanced Orthopaedics LLC | 4225 Altamont Pl, Suite 101, White Plains, MD 20695-3039 |
| Donald H Taylor | Psychiatry | Charles County Department of Health | 4545 Crain Hwy, White Plains, MD 20695-3045 |
| Dianna E Abney | Preventative Medicine | Charles County Department of Health | 4545 Crain Hwy, White Plains, MD 20695-3045 |
| Cynthia J Behm | Clinical Social Worker | Charles County Department of Health | 4545 Crain Hwy, White Plains, MD 20695-3045 |
| Billie W Lyons | Nurse Practitioner | Charles County Department of Health | 4545 Crain Hwy, White Plains, MD 20695-3045 |
| Charles E Ruch | Psychiatry | Charles County Department of Health | 4545 Crain Hwy, White Plains, MD 20695-3045 |
| Telisha N Johnson | Nurse Practitioner | Minute Clinic LLC | 4200 Altamont Pl, White Plains, MD 20695-3052 |
| Teresa Ann Dumpe | Nurse Practitioner | Johns Hopkins Community Physicians | 4224 Altamont Pl, Suite 201, White Plains, MD 20695-3052 |
| Find all physicians in zip 20695 | |||
| City | WHITE PLAINS |
| Zip Code | 20695 |
| Specialty | HOSPITALIST |
| City + Specialty | WHITE PLAINS + HOSPITALIST |
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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.