Roussel Clement, MD | |
6265 39th St, Groves, TX 77619-4614 | |
(409) 962-4400 | |
(409) 962-4412 |
Full Name | Roussel Clement |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 6265 39th St, Groves, Texas |
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 |
---|---|---|---|
1710977913 | NPI | - | NPPES |
TXB143105 | Medicaid | TX | |
155554203 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | L5284 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intrepid Usa Healthcare Services | Nederland, TX | Home health agency |
Pulse Homecare | Beaumont, TX | Home health agency |
Harbor Hospice Of Southeast Texas | Nederland, TX | Hospice |
Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
The Medical Center Of Southeast Texas | Port arthur, TX | Hospital |
Baptist Beaumont Hospital | Beaumont, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Roussel Clement Mdpa | 4486655446 | 2 |
Entity Name | Roussel Clement Mdpa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720147762 PECOS PAC ID: 4486655446 Enrollment ID: O20070118000416 |
Entity Name | Texas Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235472556 PECOS PAC ID: 8921248162 Enrollment ID: O20140115001155 |
Entity Name | Ess Of Nacogdoches Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780139956 PECOS PAC ID: 3375821630 Enrollment ID: O20161021000335 |
Entity Name | Ess Of Port Lavaca Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922546936 PECOS PAC ID: 2769766005 Enrollment ID: O20170303001868 |
Entity Name | Dynamic Anesthesia Providers, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346752326 PECOS PAC ID: 0547529596 Enrollment ID: O20180119000344 |
Entity Name | Everest Urgent Care Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720613094 PECOS PAC ID: 4183045941 Enrollment ID: O20200602003003 |
Entity Name | Paramount Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518610393 PECOS PAC ID: 8224425301 Enrollment ID: O20220419001743 |
Entity Name | Shalom Health Care Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083324404 PECOS PAC ID: 7618348731 Enrollment ID: O20230126002865 |
Mailing Address | Practice Location Address |
---|---|
Roussel Clement, MD 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 | Roussel Clement, MD 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 |