Kandice J Wommack


Address: 142 Vine St, Benton, KY 42025-7472
Phone: 2705270000

Kandice J Wommack (NPI# 1467484980, PAC ID# 1951325828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1467484980
PAC ID by PECOS 1951325828
Professional Enrollment ID I20060118000544
Full Name Kandice J Wommack
Address 142 Vine St
Benton
KY 42025-7472
Phone Number 2705270000
Gender F
Credential DC
Medical School LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year 1999
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
142 Vine St, Benton, KY 42025-7472 2705270000

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_131_overall Pain Assessment and Follow-Up 100%
MIPS_EC_182_overall Functional Outcome Assessment 100%

Organization Information

Office Location

Street Address 142 VINE ST
City BENTON
State KY
Zip 42025-7472

Physicians in the same location

Name Specialty Organization Address
Susan C Dilatush Chiropractic 142 Vine St, Benton, KY 42025-7472

Physicians in the same zip code

Name Specialty Organization Address
Amy G Grizzard Physical Therapy Atlas Physical Therapy LLC 244 Us 68, Benton, KY 42025
Joshua Mason Clapp Chiropractic Chaney Bug Health Services 374 W 5th St, Benton, KY 42025-1102
Michael L Hayes Optometry 310 W 5th St, Benton, KY 42025-1102
Natasha G Lyles Optometry Lyles Eye Center, Pllc 140 Commerce Blvd, Benton, KY 42025-1112
Aaron J Lyles Optometry Lyles Eye Center, Pllc 140 Commerce Blvd, Benton, KY 42025-1112
Jennifer Hudgin Nurse Practitioner Fast Pace Kentucky Pllc 401 Main St, Benton, KY 42025-1119
Mitzi N Gardner Nurse Practitioner Fast Pace Kentucky Pllc 401 Main St, Benton, KY 42025-1119
Kelly Coriene Keplinger-page Nurse Practitioner Fast Pace Kentucky Pllc 401 Main St, Benton, KY 42025-1119
Jamie Wilson Nurse Practitioner Fast Pace Kentucky Pllc 401 Main St, Benton, KY 42025-1119
Amanda F Dunn Nurse Practitioner Fast Pace Kentucky Pllc 401 Main St, Benton, KY 42025-1119
Find all physicians in zip 42025

Competitor

Search similar physicians

City BENTON
Zip Code 42025
Specialty CHIROPRACTIC
City + Specialty BENTON + CHIROPRACTIC

Improve Information

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Dataset Information

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.

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