Joseph M Fakouri (NPI# 1225148315, PAC ID# 0941304836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225148315 |
| PAC ID by PECOS | 0941304836 |
| Professional Enrollment ID | I20070403000056 |
| Full Name | Joseph M Fakouri |
| Organization Legal Name | MONTICELLO MEDICAL CLINIC PLC |
| Address |
906 Roberts Dr Monticello AR 71655-5724 |
| Phone Number | 8703678226 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5799709663 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040051 | DREW MEMORIAL HOSPITAL |
| 041323 | ASHLEY COUNTY MEDICAL CENTER |
| 041327 | BRADLEY COUNTY MEDICAL CENTER |
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| 040071 | JEFFERSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 906 Roberts Dr, Monticello, AR 71655-5724 | 8703678226 | MONTICELLO MEDICAL CLINIC PLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 67% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 28% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 96% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 4% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 28% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 5% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 6% |
| Organization Legal Name | MONTICELLO MEDICAL CLINIC PLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda K Bickford | Nurse Practitioner | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Timothy M Simon | Family Medicine | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Sylvia Charles Simon | Family Medicine | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Julia D. Nicholson | Emergency Medicine | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Anthony Paul Rodriguez | Nurse Practitioner | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| James R Atkins Jr. | Pediatric Medicine | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Street Address |
906 ROBERTS DR |
| City | MONTICELLO |
| State | AR |
| Zip | 71655-5724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda K Bickford | Nurse Practitioner | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Timothy M Simon | Family Medicine | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Sylvia Charles Simon | Family Medicine | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Julia D. Nicholson | Emergency Medicine | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Anthony Paul Rodriguez | Nurse Practitioner | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| James R Atkins Jr. | Pediatric Medicine | Monticello Medical Clinic Plc | 906 Roberts Dr, Monticello, AR 71655-5724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan D Collins | Chiropractic | Collins Chiropractic Center LLC | 106 N Hyatt St, Monticello, AR 71655-4022 |
| Tyler Ryan Collins | Chiropractic | Collins Chiropractic Center LLC | 106 N Hyatt St, Monticello, AR 71655-4022 |
| Ricky Ferguson | Optometry | 408 W Mccloy St, Monticello, AR 71655-4325 | |
| Noadia A Worku | Internal Medicine | 201 N Slemons St, Monticello, AR 71655-4326 | |
| Scott C Claycomb | Ophthalmology | 301 Hwy 425 S, Monticello, AR 71655-4611 | |
| James L Price Jr. | Optometry | Seark Eyecare LLC | 301 Hwy 425 S, Monticello, AR 71655-4611 |
| Barrett L Brown | Optometry | Seark Eyecare LLC | 301 Hwy 425 S, Monticello, AR 71655-4611 |
| Mark W Bryant | Chiropractic | 232 S Main St, Monticello, AR 71655-4730 | |
| Wendell Bryant | Chiropractic | 232 S Main St, Monticello, AR 71655-4730 | |
| Dustin C Eubanks | Chiropractic | 604 W Bolling St, Suite A, Monticello, AR 71655-5410 | |
| Find all physicians in zip 71655 | |||
| City | MONTICELLO |
| Zip Code | 71655 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONTICELLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Joseph M Fakouri.
| 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.