Daisy May Gamotin Benigno (NPI# 1528228046, PAC ID# 5597900175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528228046 |
| PAC ID by PECOS | 5597900175 |
| Professional Enrollment ID | I20190930001620 |
| Full Name | Daisy May Gamotin Benigno |
| Organization Legal Name | PINELAKE PHYSICIAN PRACTICE LLC |
| Address |
101 Main St Fulton KY 42041-1601 |
| Phone Number | 2704725245 |
| Gender | F |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6800797507 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450653 | SCENIC MOUNTAIN MEDICAL CENTER |
| 180116 | JACKSON PURCHASE MEDICAL CENTER |
| 440130 | BAPTIST MEMORIAL HOSPITAL UNION CITY |
| Address | Phone | Organization |
|---|---|---|
| 2301 S Gregg St, Steward Medical Group of Texas, Big Spring, TX 79720-5531 | 4322675531 | PERMIAN PREMIER HEALTH SERVICES INC |
| 101 Main St, Fulton, KY 42041-1601 | 2704725245 | PINELAKE PHYSICIAN PRACTICE LLC |
| 1029 Medical Ctr Cir, Mayfield, KY 42066-1189 | PINELAKE PHYSICIAN PRACTICE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_065_overall | Appropriate Treatment for Children with Upper Respiratory Infection (URI) | 20% | |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 80% | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 91% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 6% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 15% |
| Organization Legal Name | PINELAKE PHYSICIAN PRACTICE LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Turner | Nurse Practitioner | Pinelake Physician Practice LLC | 106 W Clay St, Clinton, KY 42031-1317 |
| Sarah M Darnell | Nurse Practitioner | Pinelake Physician Practice LLC | 1029 Medical Ctr Cir, Mayfield, KY 42066-1189 |
| Lela Cole | Nurse Practitioner | Pinelake Physician Practice LLC | 110 S 9th St, Mayfield, KY 42066-2208 |
| Tyrone Lee Daniels | Cardiovascular Disease (cardiology) | Pinelake Physician Practice LLC | 1111 Medical Ctr Cir, Mayfield, KY 42066-1194 |
| Tanna S Vaughan | Nurse Practitioner | Pinelake Physician Practice LLC | 1029 Medical Ctr Cir, Mayfield, KY 42066-1189 |
| Jessica Little | Podiatry | Pinelake Physician Practice LLC | 1029 Medical Ctr Cir, Suite 401, Mayfield, KY 42066-1189 |
| Elias Pitaras | Nephrology | Pinelake Physician Practice LLC | 1111 Medical Ctr Cir, Mayfield, KY 42066-1194 |
| Melisha Danielle Baldwin | Obstetrics/gynecology | Pinelake Physician Practice LLC | 1029 Medical Ctr Cir, Mayfield, KY 42066-1189 |
| Jonathan A Wynstra | Obstetrics/gynecology | Pinelake Physician Practice LLC | 1111 Medical Ctr Cir, Mayfield, KY 42066-1194 |
| Wayne E Williams | Family Medicine | Pinelake Physician Practice LLC | 1029 Medical Ctr Cir, Mayfield, KY 42066-1189 |
| Street Address |
101 MAIN ST |
| City | FULTON |
| State | KY |
| Zip | 42041-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Leonard | Qualified Audiologist | Massachusetts Eye and Ear Associates, Inc | 101 Main St, Medford, MA 02155-4540 |
| Marcia L Zuckerman | Psychiatry | Hallmark Health Medical Associates Inc | 101 Main St, Suite 112, Medford, MA 02155-4530 |
| Kelsey M Kienert | Internal Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 101 Main St, Neenah, WI 54956-2570 |
| Davis T Bu | Internal Medicine | Hallmark Health Medical Associates Inc | 101 Main St, Suite 204, Medford, MA 02155-4530 |
| Mandy B Theisen | Qualified Audiologist | Massachusetts Eye and Ear Associates, Inc | 101 Main St, Medford, MA 02155-4540 |
| Solmaz Amirnazmi | Internal Medicine | Partners Community Physicians Organization Inc | 101 Main St, Suite 107, Medford, MA 02155-4530 |
| Ashley Riley | Nurse Practitioner | Partners Community Physicians Organization Inc | 101 Main St, Suite 107, Medford, MA 02155-4530 |
| Sylvia Cho | Obstetrics/gynecology | Hallmark Health Medical Associates Inc | 101 Main St, Suite 217, Medford, MA 02155-4530 |
| Josephine A Albano | Internal Medicine | Partners Community Physicians Organization Inc | 101 Main St, Suite 107, Medford, MA 02155-4530 |
| Sameer N Gaonkar | Family Medicine | Hallmark Health Medical Associates Inc | 101 Main St, Suite 116, Medford, MA 02155-4530 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Indu Malik | Family Practice | 227 Commerical Ave, Fulton, KY 42041-1528 | |
| Mallory Kate Bradley | Chiropractic | 420 Lake St, Fulton, KY 42041-1531 | |
| Deena D Carrico | Nurse Practitioner | Ultra Health LLC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Adrian J Pellegrini | Internal Medicine | Ipc Pac Healthcare Services of Tennessee PC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Dawn M. Kopp | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Lora A Russell | Nurse Practitioner | Ultra Health LLC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Valentina Jenkins | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Jacqueline Chapman North | Psychologist, Clinical | Ipc Pac Healthcare Services of Tennessee PC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Erin Fulkerson | Psychologist, Clinical | Ipc Pac Healthcare Services of Tennessee PC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Tammy Renee Gilbert | Nurse Practitioner | Ultra Health LLC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Find all physicians in zip 42041 | |||
| City | FULTON |
| Zip Code | 42041 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FULTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daisy May Gamotin Benigno.
| 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.