NPIMap

Individual provider Active NPI

Deanna Rochelle Mansker, M.D.

  • Surgery Physician
  • Charleston, SC
National Provider Identifier
1205924198
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LL28917 Issued in SC
Practice address
96 Jonathan Lucas St
Musc Department of Surgery
Charleston, SC 29425-8900
Phone
(843) 792-3072
Fax
(843) 792-8286
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X LL28917 SC Primary

Addresses

Primary practice location

96 Jonathan Lucas St
Musc Department of Surgery
Charleston, SC 29425-8900

Mailing address

17 Solomon CT
Charleston, SC 29414-6825
Phone (843) 830-3486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000006 SC Practitioner - General Surgery 3577741818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-8171

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Amedisys Home Health of Beaufort Home health agency, Ladys Island, SC, CCN 427304
  • Pruitthealth Home Health-Low Country Home health agency, Bluffton, SC, CCN 427123
  • Centerwell Home Health Home health agency, Walterboro, SC, CCN 427856
  • Amedisys Home Health of Bluffton Home health agency, Bluffton, SC, CCN 427048
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue434
Removal of skin lesions34
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL28917SCMDSurgery Physician
28917SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital Current Accepting new patients
Beaufort County Memorial Hosptial CurrentSince Jul 11, 2011 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jul 11, 2011 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

989 Ribaut Rd
Ste 360
Beaufort, SC 29902
Phone (843) 522-5900

122 Okatie Center Blvd N
Ste 300
Okatie, SC 29909
Phone (843) 707-8040

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: deanna.mansker.1@16436.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1205924198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SOLOMON CT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146825",
            "telephone_number": "843-830-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST",
            "address_2": "MUSC DEPARTMENT OF SURGERY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-792-3072",
            "fax_number": "843-792-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSKER",
        "first_name": "DEANNA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "LL28917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.