Wolf E Heberlein (NPI# 1922121698, PAC ID# 8123199387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1922121698 |
| PAC ID by PECOS | 8123199387 |
| Professional Enrollment ID | I20080616000180 |
| Full Name | Wolf E Heberlein |
| Organization Legal Name | PAIN AND INTERVENTIONAL RADIOLOGY SPECIALISTS, P.A. |
| Address |
3800 E Johnson Ave E Interventional Pain Management Center Jonesboro AR 72401-1940 |
| Phone Number | 8709320399 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4789962036 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040020 | ST BERNARDS MEDICAL CENTER |
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3800 E Johnson Ave E, Interventional Pain Management Center, Jonesboro, AR 72401-1940 | 8709320399 | PAIN AND INTERVENTIONAL RADIOLOGY SPECIALISTS, P.A. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | PAIN AND INTERVENTIONAL RADIOLOGY SPECIALISTS, P.A. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Wendel | Interventional Radiology | Pain and Interventional Radiology Specialists, P.a. | 3800 E Johnson Ave E, Interventional Pain Management Center, Jonesboro, AR 72401-1940 |
| Amy M Deatherage | Nurse Practitioner | Pain and Interventional Radiology Specialists, P.a. | 3800 E Johnson Ave E, Interventional Pain Management Center, Jonesboro, AR 72401-1940 |
| Melanie Renee New | Certified Clinical Nurse Specialist (cns) | Pain and Interventional Radiology Specialists, P.a. | 3800 E Johnson Ave E, Interventional Pain Management Center, Jonesboro, AR 72401-1940 |
| Street Address |
3800 E JOHNSON AVE E INTERVENTIONAL PAIN MANAGEMENT CENTER |
| City | JONESBORO |
| State | AR |
| Zip | 72401-1940 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Wendel | Interventional Radiology | Pain and Interventional Radiology Specialists, P.a. | 3800 E Johnson Ave E, Interventional Pain Management Center, Jonesboro, AR 72401-1940 |
| Amy M Deatherage | Nurse Practitioner | Pain and Interventional Radiology Specialists, P.a. | 3800 E Johnson Ave E, Interventional Pain Management Center, Jonesboro, AR 72401-1940 |
| Melanie Renee New | Certified Clinical Nurse Specialist (cns) | Pain and Interventional Radiology Specialists, P.a. | 3800 E Johnson Ave E, Interventional Pain Management Center, Jonesboro, AR 72401-1940 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence W Gordon | Ophthalmology | Mid South Retina Associates, LLC | 820 E Matthews, E, Jonesboro, AR 72401 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
| Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Find all physicians in zip 72401 | |||
| City | JONESBORO |
| Zip Code | 72401 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | JONESBORO + DIAGNOSTIC RADIOLOGY |
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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.