Ansel T Johnson (NPI# 1023106309, PAC ID# 4880597293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1023106309 |
| PAC ID by PECOS | 4880597293 |
| Professional Enrollment ID | I20040203000531 |
| Full Name | Ansel T Johnson |
| Address |
12812 Western Ave Blue Island IL 60406-2118 |
| Gender | M |
| Credential | OD |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12812 Western Ave, Blue Island, IL 60406-2118 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 13% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 1% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
12812 WESTERN AVE |
| City | BLUE ISLAND |
| State | IL |
| Zip | 60406-2118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Lucero | Emergency Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Nicole Fitzgerald | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Jennifer Komada | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Rebecca Cummings | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Celeste Mcfarland | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Sheri Nichole Morse | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kristen M Sobol | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kaitlyn Steinberg | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Naomi Shirleen Chinavong | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Fatima Ali Hyder | Internal Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Find all physicians in zip 60406 | |||
| City | BLUE ISLAND |
| Zip Code | 60406 |
| Specialty | OPTOMETRY |
| City + Specialty | BLUE ISLAND + 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.