Gary J Vicik (NPI# 1295708212, PAC ID# 8123113230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1295708212 |
| PAC ID by PECOS | 8123113230 |
| Professional Enrollment ID | I20071004000528 |
| Full Name | Gary J Vicik |
| Organization Legal Name | DERMASSOCIATES LTD |
| Address |
3608 W Main St Belleville IL 62226-6225 |
| Phone Number | 6183976605 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3577658681 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3608 W Main St, Belleville, IL 62226-6225 | 6183976605 | DERMASSOCIATES LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| 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_265_overall | Biopsy Follow-Up | 100% |
| Organization Legal Name | DERMASSOCIATES LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jami L Mannle | Nurse Practitioner | Dermassociates Ltd | 3608 W Main St, Belleville, IL 62226-6225 |
| Street Address |
3608 W MAIN ST |
| City | BELLEVILLE |
| State | IL |
| Zip | 62226-6225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jami L Mannle | Nurse Practitioner | Dermassociates Ltd | 3608 W Main St, Belleville, IL 62226-6225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naheed T Bashir | Interventional Radiology | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| Jennifer S Middendorf | Nurse Practitioner | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| David L Eisenberg | Obstetrics/gynecology | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Jessica L Schneider | Nurse Practitioner | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Ashley R Brown | Clinical Social Worker | 4460 N Illinois St, Suite 7, Swansea, IL 62226-1899 | |
| Brandon Cory Steele | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Timothy J Bertelsman | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Robert Hellman | Anesthesiology | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Homer A Ferguson Jr. | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | |
| Daniel P Walsh | Optometry | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Find all physicians in zip 62226 | |||
| City | BELLEVILLE |
| Zip Code | 62226 |
| Specialty | DERMATOLOGY |
| City + Specialty | BELLEVILLE + DERMATOLOGY |
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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.