Debra R Mccutcheon (NPI# 1184804411, PAC ID# 2062699754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1184804411 |
| PAC ID by PECOS | 2062699754 |
| Professional Enrollment ID | I20110606000731 |
| Full Name | Debra R Mccutcheon |
| Organization Legal Name | CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC |
| Address |
5053 Executive Dr B Morehead City NC 28557-2506 |
| Phone Number | 2527268480 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 7315921236 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340142 | CARTERET GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5053 Executive Dr B, Morehead City, NC 28557-2506 | 2527268480 | CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% |
| Organization Legal Name | CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Hollar Lanier | Nurse Practitioner | Crystal Coast Pain Management Center, Pllc | 5053 Executive Dr B, Morehead City, NC 28557-2506 |
| Kirk E Harum | Interventional Pain Management | Crystal Coast Pain Management Center, Pllc | 2111 Neuse Blvd J, New Bern, NC 28560-4318 |
| Courtney M Auman | Interventional Pain Management | Crystal Coast Pain Management Center, Pllc | 2111 Neuse Blvd J, New Bern, NC 28560-4318 |
| Colleen Kelly | Physician Assistant | Crystal Coast Pain Management Center, Pllc | 2111 Neuse Blvd J, New Bern, NC 28560-4318 |
| Kerstin L Mosso | Physician Assistant | Crystal Coast Pain Management Center, Pllc | 2111 Neuse Blvd J, New Bern, NC 28560-4318 |
| Lisa A Reed | Nurse Practitioner | Crystal Coast Pain Management Center, Pllc | 2111 Neuse Blvd J, New Bern, NC 28560-4318 |
| April E Thomas | Physician Assistant | Crystal Coast Pain Management Center, Pllc | 2111 Neuse Blvd J, New Bern, NC 28560-4318 |
| Jennifer M Ard | Nurse Practitioner | Crystal Coast Pain Management Center, Pllc | 5053 Executive Dr B, Morehead City, NC 28557-2506 |
| Zachary J Kitchen | Interventional Pain Management | Crystal Coast Pain Management Center, Pllc | 2111 Neuse Blvd J, New Bern, NC 28560-4318 |
| Angelo A Tellis | Interventional Pain Management | Crystal Coast Pain Management Center, Pllc | 2111 Neuse Blvd J, New Bern, NC 28560-4318 |
| Street Address |
5053 EXECUTIVE DR B |
| City | MOREHEAD CITY |
| State | NC |
| Zip | 28557-2506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Hollar Lanier | Nurse Practitioner | Crystal Coast Pain Management Center, Pllc | 5053 Executive Dr B, Morehead City, NC 28557-2506 |
| Jennifer M Ard | Nurse Practitioner | Crystal Coast Pain Management Center, Pllc | 5053 Executive Dr B, Morehead City, NC 28557-2506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Christopher Gaines Ii | Qualified Audiologist | 5000 Hwy 70 W 103, Morehead City, NC 28557 | |
| Sajeev P Vettichira | Pulmonary Disease | Carteret Medical Specialists Pllc | Hestron Plz, Suite 102, Morehead City, NC 28557 |
| Patrick D Mclaughlin | Chiropractic | Mclaughlin Chiropractic Center LLC | 5056 Hwy 70 W B, Morehead City, NC 28557 |
| Susan Vettichira | Physical Medicine and Rehabilitation | Carteret Medical Specialists Pllc | Hestron Plz, Suite 102, Morehead City, NC 28557 |
| Nathan Erich Swacha | Chiropractic | Mclaughlin Chiropractic Center LLC | 5056 Hwy 70 W B, Morehead City, NC 28557 |
| Brooke Gainey Narron | Nurse Practitioner | Diabetes and Endocrinology | 4252 Arendell St G, Morehead City, NC 28557-0015 |
| Thomas L Kirtley Jr. | Family Medicine | 4252 Avendell St, Suite A, Morehead City, NC 28557-0015 | |
| Joseph R Christensen | Optometry | 5053 Executive Dr, Suite A, Morehead City, NC 28557-2506 | |
| Matthew Waner | Optometry | Waner Family Eye Care O.d., Pllc | 300 Nc Hwy 24, Morehead City, NC 28557-2551 |
| Tracy J Waner | Optometry | Waner Family Eye Care O.d., Pllc | 300 Nc Hwy 24, Morehead City, NC 28557-2551 |
| Find all physicians in zip 28557 | |||
| City | MOREHEAD CITY |
| Zip Code | 28557 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MOREHEAD CITY + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Debra R Mccutcheon.
| 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.