Willie B Castleberry Iii (NPI# 1871503128, PAC ID# 3173786993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1871503128 |
PAC ID by PECOS | 3173786993 |
Professional Enrollment ID | I20120515000231 |
Full Name | Willie B Castleberry Iii |
Organization Legal Name | JA MCCALL CLINIC LLC |
Address |
711 E Goliad Ave Crockett TX 75835-2140 |
Phone Number | 9365443763 |
Gender | M |
Graduation Year | 1999 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 0749529246 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
711 E Goliad Ave, Crockett, TX 75835-2140 | 9365443763 | JA MCCALL CLINIC LLC |
711 E Goliad Ave, Crockett, TX 75835-2140 | MCCALL AND MCCALL |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 100% | |
MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% |
Organization Legal Name | JA MCCALL CLINIC LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Artie Mccall Jr. | Optometry | Ja Mccall Clinic LLC | 711 E Goliad Ave, Crockett, TX 75835-2140 |
Street Address |
711 E GOLIAD AVE |
City | CROCKETT |
State | TX |
Zip | 75835-2140 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Artie Mccall Jr. | Optometry | Ja Mccall Clinic LLC | 711 E Goliad Ave, Crockett, TX 75835-2140 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher R Haeckler | Family Medicine | 1122 Loop 304, Crockett, TX 75835-1189 | |
Richard J Kelly | Family Medicine | 1122 Loop 304, Po Box 1189, Crockett, TX 75835-1189 | |
Bradley V White | Chiropractic | 500 E Pease Ave, Crockett, TX 75835-1644 | |
Candace L Adkins | Nurse Practitioner | Claris Health Pllc | 1116 E Loop, 304 Whitehall Rehab and Nursing, Crockett, TX 75835-1810 |
Frank A Smith | Family Practice | 1122 E Loop, Suite 304, Crockett, TX 75835-1810 | |
Ronald R Eikenhorst | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
Craig S Yetter | Emergency Medicine | Concord Medical Group of Texas Pllc | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
Bronson Shane Tindall | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
Kenneth R Close | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
Natalie Ea Bachynsky | Nurse Practitioner | Crockett Medical Center, LLC | 1100 E Loop, 304 Crockett Med Center Clinic, Crockett, TX 75835-1810 |
Find all physicians in zip 75835 |
City | CROCKETT |
Zip Code | 75835 |
Specialty | OPTOMETRY |
City + Specialty | CROCKETT + OPTOMETRY |
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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.