Susan C Mcmullen (NPI# 1699758136, PAC ID# 8921197286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699758136 |
| PAC ID by PECOS | 8921197286 |
| Professional Enrollment ID | I20080325000061 |
| Full Name | Susan C Mcmullen |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Address |
100 Municipal Dr Suite 300 Gun Barrel City TX 75156-3703 |
| Phone Number | 9037131574 |
| Gender | F |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486915600 |
| Number of Group Practice Members | 206 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450389 | EAST TEXAS MEDICAL CENTER ATHENS |
| 450083 | EAST TEXAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703 | 9037131574 | ETMC PHYSICIAN GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 99% |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varalaxmi Nannaka | Pulmonary Disease | Etmc Physician Group, Inc. | 305 Cottage Rd, Carthage, TX 75633-1511 |
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Andrea Corine Cooley | Cardiac Surgery | Etmc Physician Group, Inc. | 1000 E 5th St, Suite 400, Tyler, TX 75701-3362 |
| Jason S Murry | General Surgery | Etmc Physician Group, Inc. | 1020 E Idel St, Ut Health East Texas Physicians, Tyler, TX 75701-2024 |
| Ronald J Pinkenburg | Ophthalmology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
| Francine Fraser Mccain | Obstetrics/gynecology | Etmc Physician Group, Inc. | 1336 S Palestine St, Athens, TX 75751-3621 |
| Lori Fuquay | Nurse Practitioner | Etmc Physician Group, Inc. | 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037 |
| Michael Jason Chastant | Nurse Practitioner | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Eric D Reed | Otolaryngology | Etmc Physician Group, Inc. | 301 W 19th St, Mt Pleasant, TX 75455-2322 |
| Street Address |
100 MUNICIPAL DR SUITE 300 |
| City | GUN BARREL CITY |
| State | TX |
| Zip | 75156-3703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy Paul Foster | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Don Brent Treichler | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| John Bowman | Nurse Practitioner | Texas Em I Medical Services Pa | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| William R Giles Jr. | Internal Medicine | Etmc Physician Group, Inc. | 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703 |
| Sheila Calmese | Nurse Practitioner | Texas Em I Medical Services Pa | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Leeor B Peleg | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Cynthia S Ahearn | Nurse Practitioner | Texas Em I Medical Services Pa | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Lauren R Knapp | Nurse Practitioner | Texas Em I Medical Services Pa | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Kranthi Kiran Ragireddy | Family Medicine | Etmc Physician Group, Inc. | 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703 |
| Danny W Fillip | Physician Assistant | Etmc Physician Group, Inc. | 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin C Caldwell | Nurse Practitioner | Cedar Creek Clinic LLC | 2418 W Main St, Gun Barrel City, TX 75156-3638 |
| Krystal Lynn Morgan | Nurse Practitioner | Cedar Creek Clinic LLC | 2418 W Main St, Gun Barrel City, TX 75156-3638 |
| Adeniran A Ariyo | Cardiovascular Disease (cardiology) | 519 N Gun Barrel Ln, Gun Barrel City, TX 75156-3700 | |
| Steven Koerth | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Victoria M Jacobs | Physician Assistant | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Waleed Mahmoud | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Bruce Woodall | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Kristi Shawn Gore | Nurse Practitioner | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Alicia Cleaver | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Jon M Rich | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Find all physicians in zip 75156 | |||
| City | GUN BARREL CITY |
| Zip Code | 75156 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GUN BARREL CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Susan C Mcmullen.
| 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.