Mark Thomas Reis, MD | |
81 Highland Springs Ave, Suite 103, Beaumont, CA 92223-3170 | |
(951) 845-0313 | |
(360) 414-5758 |
Full Name | Mark Thomas Reis |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 38 Years |
Location | 81 Highland Springs Ave, Beaumont, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982709432 | NPI | - | NPPES |
000258 | Medicaid | OR | |
8467847 | Medicaid | WA | |
FU515Z | Other | CA | MEDICARE |
8943021 | Other | WA | CRIME VICTIMS |
215163 | Other | WA | LABOR & IND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G88836 (California) | Primary |
207X00000X | Orthopaedic Surgery | 00032312 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Lassen Medical Center | Susanville, CA | Hospital |
Sutter Amador Hospital | Jackson, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Health | 9537078365 | 4 |
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | San Bernardino Medical Orthopaedic Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336187475 PECOS PAC ID: 9335045228 Enrollment ID: O20040303001330 |
Entity Name | Acute Care Surgery Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
Entity Name | Sutter Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Entity Name | Surgical Affiliates Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20130618000127 |
Entity Name | Banner Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205267549 PECOS PAC ID: 9537078365 Enrollment ID: O20140604002057 |
Mailing Address | Practice Location Address |
---|---|
Mark Thomas Reis, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188 | Mark Thomas Reis, MD 81 Highland Springs Ave, Suite 103, Beaumont, CA 92223-3170 Ph: (951) 845-0313 |