Beverly T Quenneville (NPI# 1851308589, PAC ID# 9638112295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1851308589 |
| PAC ID by PECOS | 9638112295 |
| Professional Enrollment ID | I20050604000042 |
| Full Name | Beverly T Quenneville |
| Organization Legal Name | WILLIAM B HENGHOLD MD PA |
| Address |
530 Fontaine St Pensacola FL 32503-2019 |
| Phone Number | 8504744775 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3072691476 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1200 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4855 | 8504744775 | WILLIAM B HENGHOLD MD PA |
| 530 Fontaine St, Pensacola, FL 32503-2019 | 8504744775 | WILLIAM B HENGHOLD MD PA |
| 540 Fontaine St, Pensacola, FL 32503-2019 | 8504744775 | WILLIAM B HENGHOLD MD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | WILLIAM B HENGHOLD MD PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrizia A Lewis | Nurse Practitioner | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Jerome P Fairchild | Dermatology | William B Henghold Md Pa | 4541 N Davis Hwy, Suite C, Pensacola, FL 32503-2733 |
| William Henghold | Dermatology | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Kelly C Stubblefield | Nurse Practitioner | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Luke Hyder | Dermatology | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Jeanette N Batchelor | Physician Assistant | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Michael S Dent | Dermatology | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Jenna M Beasley | Dermatology | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Street Address |
530 FONTAINE ST |
| City | PENSACOLA |
| State | FL |
| Zip | 32503-2019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrizia A Lewis | Nurse Practitioner | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| William Henghold | Dermatology | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Kelly C Stubblefield | Nurse Practitioner | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Luke Hyder | Dermatology | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Jeanette N Batchelor | Physician Assistant | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Michael S Dent | Dermatology | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Jenna M Beasley | Dermatology | William B Henghold Md Pa | 530 Fontaine St, Pensacola, FL 32503-2019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joumana Sarkhoche | Family Practice | 5500 N Davis Hwy 3, Pensacola, FL 32503 | |
| Peter A Marco | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Luis Carlos Murillo | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Peter A Bercz | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Enrique Diaz Guzman Zavala | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| John George Wagner | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Sean Michael Roark | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Brandy M Miles | Physician Assistant | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| John M Bray | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Frank V Messina | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Find all physicians in zip 32503 | |||
| City | PENSACOLA |
| Zip Code | 32503 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PENSACOLA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Beverly T Quenneville.
| 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.