Ben J Kirbo (NPI# 1720096761, PAC ID# 3971572736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1720096761 |
| PAC ID by PECOS | 3971572736 |
| Professional Enrollment ID | I20111115000070 |
| Full Name | Ben J Kirbo |
| Organization Legal Name | SOUTHEASTERN PLASTIC SURGERY PA |
| Address |
2030 Fleischmann Rd Tallahassee FL 32308-4599 |
| Phone Number | 8502192000 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 4688642085 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100135 | TALLAHASSEE MEMORIAL HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 8502192000 | SOUTHEASTERN PLASTIC SURGERY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 94% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 1% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 51% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 13% |
| Organization Legal Name | SOUTHEASTERN PLASTIC SURGERY PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leo C Derosier | Plastic and Reconstructive Surgery | Southeastern Plastic Surgery Pa | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 |
| Laurence Z Rosenberg | Plastic and Reconstructive Surgery | Southeastern Plastic Surgery Pa | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 |
| Brittany A Decastro | Nurse Practitioner | Southeastern Plastic Surgery Pa | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 |
| Street Address |
2030 FLEISCHMANN RD |
| City | TALLAHASSEE |
| State | FL |
| Zip | 32308-4599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leo C Derosier | Plastic and Reconstructive Surgery | Southeastern Plastic Surgery Pa | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 |
| Lisa A Umana | Certified Registered Nurse Anesthetist (crna) | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | |
| Laurence Z Rosenberg | Plastic and Reconstructive Surgery | Southeastern Plastic Surgery Pa | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 |
| Patti S Pijut | Certified Registered Nurse Anesthetist (crna) | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | |
| Brittany A Decastro | Nurse Practitioner | Southeastern Plastic Surgery Pa | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Vatsal Patel | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Eileen Venable | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jeffrey T Ferraro | Neuropsychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Donna S Kitch | Psychologist, Clinical | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jessica D Shrum | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jonathan E Johnson | Physician Assistant | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jennifer Beaupied | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Cynthia S Whitaker | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Kelly E Sunshine | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Find all physicians in zip 32308 | |||
| City | TALLAHASSEE |
| Zip Code | 32308 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | TALLAHASSEE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Ben J Kirbo.
| 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.