Diana M Mancuso (NPI# 1417971037, PAC ID# 9234294844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417971037 |
| PAC ID by PECOS | 9234294844 |
| Professional Enrollment ID | I20090216000199 |
| Full Name | Diana M Mancuso |
| Address |
4300 W Main St Suite 16 Dothan AL 36305-1310 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010055 | FLOWERS HOSPITAL |
| 010001 | SOUTHEAST ALABAMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4300 W Main St, Suite 16, Dothan, AL 36305-1310 | ||
| 4370 W Main St, Dothan, AL 36305-1056 | 3347935000 | APP OF ALABAMA HM, LLC |
| 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% |
| Street Address |
4300 W MAIN ST SUITE 16 |
| City | DOTHAN |
| State | AL |
| Zip | 36305-1310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parks W Pratt Iii | Rheumatology | 4300 W Main St, Suite 102, Dothan, AL 36305-1306 | |
| Samantha P Carter | Nurse Practitioner | Wiregrass Clinic LLC | 4300 W Main St, Suite 16, Dothan, AL 36305-1310 |
| Chelsey Jane Smith | Otolaryngology | Dothan Ent Associates, P.C. | 4300 W Main St, Suite 403, Dothan, AL 36305-4001 |
| Emily E Cannon | General Surgery | Wiregrass Surgical Associates, P.C. | 4300 W Main St, Suite 24, Dothan, AL 36305-1312 |
| Paul C Motta | Allergy/immunology | Dothan Ent Associates, P.C. | 4300 W Main St, Suite 403, Dothan, AL 36305-4001 |
| Bradley T Marker | General Surgery | Wiregrass Surgical Associates, P.C. | 4300 W Main St, Suite 24, Dothan, AL 36305-1312 |
| Norma Faye Mcknight | Nurse Practitioner | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Kelli N Heer | Physician Assistant | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Roger J Williams | Urology | Wiregrass Urology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1306 |
| Jason Lee Cox | Nurse Practitioner | Wiregrass Clinic LLC | 4300 W Main St, Suite 21, Dothan, AL 36305-1058 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Hagler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Tonia L Ruddock | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Laura M Tamburin | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Candace N Short | Nurse Practitioner | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| James Butler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Craig D Omohundro | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Philip Mathew Dozier | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Christopher E Nicholls | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Deborah M Helms | Physician Assistant | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Bryan C Mullins | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Find all physicians in zip 36305 | |||
| City | DOTHAN |
| Zip Code | 36305 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DOTHAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Diana M Mancuso.
| 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.