Stacy D Brewington
CRMC MSO SUB 1 INCORPORATED


Address: 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Phone: 9313720405

Stacy D Brewington (NPI# 1043326176, PAC ID# 9739122938) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1043326176
PAC ID by PECOS 9739122938
Professional Enrollment ID I20110429000496
Full Name Stacy D Brewington
Organization Legal Name CRMC MSO SUB 1 INCORPORATED
Address 228 W 4th St
Suite 200
Cookeville
TN 38501-2489
Phone Number 9313720405
Gender M
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1997
Primary Specialty INTERVENTIONAL CARDIOLOGY
Secondary Specialties CARDIOVASCULAR DISEASE (CARDIOLOGY)
Group Practice PAC ID 1052332830
Number of Group Practice Members 16
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440059 COOKEVILLE REGIONAL MEDICAL CENTER
180106 CLINTON COUNTY HOSPITAL, INC
440187 LIVINGSTON REGIONAL HOSPITAL
441307 RIVERVIEW REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
723 Burkesville Rd, Albany, KY 42602-1654 9313720405 CRMC MSO SUB 1 INCORPORATED
228 W 4th St, Suite 200, Cookeville, TN 38501-2489 9313720405 CRMC MSO SUB 1 INCORPORATED

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 76%
ACI_EC_TRANS_MR_1 Medication Reconciliation 91%
ACI_EC_TRANS_PEA_1 Provide Patient Access 38%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 1%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 32%
ACI_EC_TRANS_SM_1 Secure Messaging 1%

Organization Information

Organization Legal Name CRMC MSO SUB 1 INCORPORATED
Physicians 16

Physicians with the same organization

Name Specialty Organization Address
Scott F Reising Cardiovascular Disease (cardiology) Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Michael Blaine Lenhart Cardiovascular Disease (cardiology) Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Shannon Robbins Nurse Practitioner Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Brian K Dockery Interventional Cardiology Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Mark S Wathen Cardiac Electrophysiology Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Vertilio Moises Cornielle-caamano Cardiovascular Disease (cardiology) Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Mariano F Battaglia Interventional Cardiology Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Ashley L Nickerson Cardiovascular Disease (cardiology) Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Robert A Case Cardiovascular Disease (cardiology) Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Christopher David Adams Interventional Cardiology Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489

Office Location

Street Address 228 W 4TH ST
SUITE 200
City COOKEVILLE
State TN
Zip 38501-2489

Physicians in the same location

Name Specialty Organization Address
Michael Alexander Sywak Vascular Surgery Cookeville Regional Medical Group Inc 228 W 4th St, Suite 301, Cookeville, TN 38501-2489
Scott F Reising Cardiovascular Disease (cardiology) Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Michael Blaine Lenhart Cardiovascular Disease (cardiology) Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Shannon Robbins Nurse Practitioner Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Christine Barbara Hughes Nurse Practitioner Cookeville Regional Medical Group Inc 228 W 4th St, Suite 301, Cookeville, TN 38501-2489
Brian K Dockery Interventional Cardiology Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Mark S Wathen Cardiac Electrophysiology Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
Debbie L Williams Physician Assistant Cookeville Regional Medical Group Inc 228 W 4th St, Suite 301, Cookeville, TN 38501-2489
April Berry Nurse Practitioner Cookeville Regional Medical Group Inc 228 W 4th St, Suite 301, Cookeville, TN 38501-2489
Vertilio Moises Cornielle-caamano Cardiovascular Disease (cardiology) Crmc Mso Sub 1 Incorporated 228 W 4th St, Suite 200, Cookeville, TN 38501-2489
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Physicians in the same zip code

Name Specialty Organization Address
Glenn T Webb Psychiatry Ten Broeck Tennessee Physicians 1 Medical Ctr Blvd 5, Cookeville, TN 38501
Ronald S Miranda Optometry Dr. Mark Lynn and Associates, Pllc 377 W Kaclspm, D1, Cookeville, TN 38501
Ralph Saunders Orthopedic Surgery Saint Thomas Medical Partners 120 Walnut Commons Lane, Suite C, Cookeville, TN 38501
Melynie M Cagle Nurse Practitioner Ten Broeck Tennessee Physicians 1 Medical Ctr Blvd 5, Cookeville, TN 38501
Carolyn A Ross Family Medicine Saint Thomas Medical Partners 120 Walnut Commons Lane, Suite C, Cookeville, TN 38501
Carey M Reed Nurse Practitioner Ten Broeck Tennessee Physicians 1 Medical Ctr Blvd 5, Cookeville, TN 38501
Kalyani M Kumar Obstetrics/gynecology Saint Thomas Medical Partners 120 Walnut Commons Lane, Suite C, Cookeville, TN 38501
Leroy V Bilbrey Psychologist, Clinical 225 N Willow Ave, Cookeville, TN 38501-0225
Tracy Harrison Epps Nurse Practitioner 1101 Primary Care, Pllc 1101 Neal St, Cookeville, TN 38501-0901
Ernest G Buchanan Iv Family Medicine 1101 Neal St, Cookeville, TN 38501-0901
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Competitor

Search similar physicians

City COOKEVILLE
Zip Code 38501
Specialty INTERVENTIONAL CARDIOLOGY
City + Specialty COOKEVILLE + INTERVENTIONAL CARDIOLOGY

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Dataset Information

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.

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