MPMG Aledade FL MSSP Enhanced
Location
Medical Partners Management Group, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
| ACO Participants | ACO Participant in Joint Venture |
| Athens Family Medicine Llc | N |
| Better Me Healthcare Llc | N |
| Carlos Porter Md Pa | N |
| David B Hevert Md Pa | N |
| Ducarmel Augustin Md Pa | N |
| Jean Claude Dubois, P.A. | N |
| Madison Medical Associates, Pc | N |
| Mesa Medical Llc | N |
| Michael A Blum Do Pa | N |
| Mil-Lake Healthcare Center Inc | N |
| Olympia Medical Center, Inc. | N |
| Pcc Medical Holdings Llc | N |
| Piedmont Family Practice Llc | N |
| Prince Avenue Primary Care, L.L.C. | N |
| Robert L Boltuch Do Pa | N |
| Rosa M Cuello Suarez Md Pa | N |
| Shanvi Inc | N |
| Susan Leigh Jones Md Llc | N |
| The Kaufmann Clinic Inc | N |
| Treasure Coast Primary Care, Pa | N |
| Universal Medical Centre Pa | N |
| Victor Ayala Md Pa | N |
| Vincent C Chin M.D., P.A. | N |
| W Daniel Zant,Jr Md Pc | N |
| Member First Name | Member Last Name | Member Title/Position | Member’s Voting Power (Expressed as a percentage) | Membership Type | ACO Participant Legal Business Name, If Applicable |
| ANDREW | CHANG | Chair/Board Member | 12.5 | Other | N/A |
| ROBERT | DEPHILIPO | Board Member | 12.5 | ACO Participant Representative | PCC Medical Holdings LLC |
| JIMMY | FERNANDEZ | ACO Medical Director/Board Member | 12.5 | ACO Participant Representative | PCC Medical Holdings LLC |
| BRET | JENNINGS | Board Member | 12.5 | ACO Participant Representative | PCC Medical Holdings LLC |
| WILLIAM | STEELE | Board Member | 12.5 | ACO Participant Representative | PCC Medical Holdings LLC |
| KEVIN | STEELE | Board Member | 12.5 | ACO Participant Representative | PCC Medical Holdings LLC |
| TONI | TERESI | Board Member | 12.5 | ACO Participant Representative | PCC Medical Holdings LLC |
| BETH | TIETBOEHL | Medicare Beneficiary Representative/Board Member | 12.5 | Medicare Beneficiary Representative | N/A |
|
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent. |
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- Executive Director: Andrew Chang
- Medical Director: Jimmy Fernandez
- Compliance Chairs: Lakesha Debardelaben & Kelton George
- Quality Assurance / Improvement Officer: Efrem Castillo
| Committee Name | Committee Leader Name and Position |
| Compliance Committee | Lakesha Debardelaben & Kelton George / Compliance Committee Leaders |
Networks of individual practices of ACO professionals
First Agreement Period
- N/A
First Agreement Period
- N/A
FRAUD AND ABUSE WAIVERS
ACO Pre-Participation Waiver: N/A
ACO Participation Waiver: N/A