Andrea L Lusk (NPI# 1538179270, PAC ID# 8527958891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1538179270 |
| PAC ID by PECOS | 8527958891 |
| Professional Enrollment ID | I20040319000752 |
| Full Name | Andrea L Lusk |
| Organization Legal Name | EYE SITE OF TAMPA BAY PA |
| Address |
2560 Gulf To Bay Blvd Suite 100 Clearwater FL 33765-4421 |
| Phone Number | 7277993772 |
| Gender | F |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3173522406 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100127 | MORTON PLANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4421 | 7277993772 | EYE SITE OF TAMPA BAY PA |
| 2031 Little Rd, Trinity, FL 34655-4421 | 7273750300 | EYE SITE OF TAMPA BAY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 94% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | EYE SITE OF TAMPA BAY PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Marie Hernandez | Optometry | Eye Site of Tampa Bay Pa | 2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4421 |
| Herbert Paul Knauf Iii | Ophthalmology | Eye Site of Tampa Bay Pa | 2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4421 |
| Street Address |
2560 GULF TO BAY BLVD SUITE 100 |
| City | CLEARWATER |
| State | FL |
| Zip | 33765-4421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Marie Hernandez | Optometry | Eye Site of Tampa Bay Pa | 2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4421 |
| Herbert Paul Knauf Iii | Ophthalmology | Eye Site of Tampa Bay Pa | 2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawne Era | Clinical Social Worker | 1980 Sunset Point Rd, Clearwater, FL 33765-1132 | |
| Dianna Lynn Magee | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
| Erica Barrera | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
| Coleen Villarreal | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
| Amy Stone | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
| Sherri Crawford | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
| Evelyn I Gonzalez | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
| Mary Zink | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
| James Raymond Soetebeer | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
| Kimberly Ancell | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
| Find all physicians in zip 33765 | |||
| City | CLEARWATER |
| Zip Code | 33765 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CLEARWATER + OPHTHALMOLOGY |
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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.