Derrick L Mena (NPI# 1053552471, PAC ID# 7113079146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053552471 |
| PAC ID by PECOS | 7113079146 |
| Professional Enrollment ID | I20120131000739 |
| Full Name | Derrick L Mena |
| Organization Legal Name | CIRQUE OF TOWERS INPATIENT SERVICES LLC |
| Address |
449 W 23 St Panama City FL 32405-4507 |
| Phone Number | 8507698341 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6709172919 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100242 | GULF COAST REGIONAL MEDICAL CENTER |
| 100026 | BAY MEDICAL CENTER SACRED HEART HEALTH SYSTEM |
| 100313 | SACRED HEART HOSPITAL ON THE GULF |
| Address | Phone | Organization |
|---|---|---|
| 449 W 23 St, Panama City, FL 32405-4507 | 8507698341 | CIRQUE OF TOWERS INPATIENT SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% |
| Organization Legal Name | CIRQUE OF TOWERS INPATIENT SERVICES LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean-edson Belcourt | Emergency Medicine | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Haley J Wiggins | Nurse Practitioner | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Mary Margaret Sloan | Nurse Practitioner | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Nimae N Awantang | General Practice | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Alan Fernando Rodriguez Rosa | Internal Medicine | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Ahmad O Rifai | Internal Medicine | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Juan C Salgado Ramirez | Internal Medicine | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Robert C Dobson | Nurse Practitioner | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Cynthia A Thomas | Nurse Practitioner | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Imran Humayun Mirza | Family Medicine | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Street Address |
449 W 23 ST |
| City | PANAMA CITY |
| State | FL |
| Zip | 32405-4507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie K Boehm | Physician Assistant | Gulf Coast Multispeciality Services, LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Jean-edson Belcourt | Emergency Medicine | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Haley J Wiggins | Nurse Practitioner | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Mary Margaret Sloan | Nurse Practitioner | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Robert A Grober | Emergency Medicine | Cathedral Peak Emergency Physicians LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Brad Johnston | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of North Florida LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Nimae N Awantang | General Practice | Cirque of Towers Inpatient Services LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Tina M Woodby | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of North Florida LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Francis K Le | Interventional Cardiology | Gulf Coast Multispeciality Services, LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Terence William Kolb | Emergency Medicine | Cathedral Peak Emergency Physicians LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celestino Palomino | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Arys Daniel Celaya | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Hakan Recep Toka | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Jennifer C Bala | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Ramin Tolouian | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Sherry Lee Brown | Chiropractic | 2410 Saint Andrews Blvd A, Panama City, FL 32405-2135 | |
| Randall Humphreys | Allergy/immunology | 2401 Saint Andrews Blvd, Panama City, FL 32405-2170 | |
| Dinesh K Bhatt | Cardiovascular Disease (cardiology) | Nkbh LLC | 2232 W 24th St, Panama City, FL 32405-2226 |
| Nayan Kumar Bhatt | Cardiovascular Disease (cardiology) | Nkbh LLC | 2232 W 24th St, Panama City, FL 32405-2226 |
| Daniel Eugene Feitz | Podiatry | 2424 Frankford Ave, Panama City, FL 32405-2239 | |
| Find all physicians in zip 32405 | |||
| City | PANAMA CITY |
| Zip Code | 32405 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PANAMA CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Derrick L Mena.
| 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.