Ann M Reitan (NPI# 1073624094, PAC ID# 7719987643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073624094 |
| PAC ID by PECOS | 7719987643 |
| Professional Enrollment ID | I20061228000041 |
| Full Name | Ann M Reitan |
| Organization Legal Name | PETERS DERMATOLOGY CENTER |
| Address |
2041 Ne Williamson Ct Suite B Bend OR 97701-3941 |
| Phone Number | 5413237546 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1994 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739487208 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| Address | Phone | Organization |
|---|---|---|
| 2041 Ne Williamson Ct, Suite B, Bend, OR 97701-3941 | 5413237546 | PETERS DERMATOLOGY CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 96% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 96% |
| Organization Legal Name | PETERS DERMATOLOGY CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ericka C Luckel | Physician Assistant | Peters Dermatology Center | 2041 Ne Williamson Ct, Suite B, Bend, OR 97701-3941 |
| Gerald E Peters Jr. | Dermatology | Peters Dermatology Center | 2041 Ne Williamson Ct, Suite B, Bend, OR 97701-3941 |
| Street Address |
2041 NE WILLIAMSON CT SUITE B |
| City | BEND |
| State | OR |
| Zip | 97701-3941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ericka C Luckel | Physician Assistant | Peters Dermatology Center | 2041 Ne Williamson Ct, Suite B, Bend, OR 97701-3941 |
| Gerald E Peters Jr. | Dermatology | Peters Dermatology Center | 2041 Ne Williamson Ct, Suite B, Bend, OR 97701-3941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria T Allen | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Mark K Spencer | Physician Assistant | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Kimberly Ann Kleaveland | Nurse Practitioner | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brent C Wesenberg | Emergency Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brett I Gingold | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Courtney Nicole Walker | Gastroenterology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Katrina Cypcar | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Derek Beeson Smith | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Mary P Manfredi | Internal Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Ashley Moore Mcclary | Obstetrics/gynecology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Find all physicians in zip 97701 | |||
| City | BEND |
| Zip Code | 97701 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BEND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ann M Reitan.
| 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.