| Acorn Medical Home | |
|
1650 Texas Ave Ste G Bridge City TX 77611-3501 | |
| (833) 698-6825 | |
| (409) 792-5523 |
| Full Name | Acorn Medical Home |
|---|---|
| Speciality | Family Medicine |
| Location | 1650 Texas Ave Ste G, Bridge City, Texas |
| Authorized Official Name and Position | Morgan Bender (CEO) |
| Authorized Official Contact | 8336986825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acorn Medical Home 1650 Texas Ave Ste G Bridge City TX 77611-3501 Ph: () - | Acorn Medical Home 1650 Texas Ave Ste G Bridge City TX 77611-3501 Ph: (833) 698-6825 |
| NPI Number | 1457099558 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 9537536883 |
|---|---|
| Medicare Enrollment ID | O20221031001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457099558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Kyle D Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922335199 PECOS PAC ID: 9739228644 Enrollment ID: I20091207000542 |
| Provider Name | Ibrahim Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578807590 PECOS PAC ID: 4082834841 Enrollment ID: I20140930002154 |
| Provider Name | Beverly A Prejean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184961856 PECOS PAC ID: 7911149729 Enrollment ID: I20150922002690 |
| Provider Name | Marni G Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891797304 PECOS PAC ID: 3678558525 Enrollment ID: I20180507000548 |
| Provider Name | Kristen Kay Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033675038 PECOS PAC ID: 1759621832 Enrollment ID: I20190328000078 |
| Provider Name | Kelsi Strahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770134363 PECOS PAC ID: 3274967682 Enrollment ID: I20191217003355 |
| Provider Name | Adam Jaynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154875441 PECOS PAC ID: 4082010087 Enrollment ID: I20210830003127 |
| Provider Name | Caitlin Joy Veazey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295259679 PECOS PAC ID: 9436529906 Enrollment ID: I20221227000274 |
Anand B. Movva, Md.,pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2515 Texas Ave, Bridge City, TX 77611 Phone: 409-735-2486 Fax: 409-735-2487 | |
Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2162 Texas Ave, Bridge City, TX 77611 Phone: 409-735-7157 Fax: 409-735-7035 | |
Golden Triangle Family Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 W Round Bunch Rd, Bridge City, TX 77611 Phone: 409-735-7305 Fax: 888-972-9401 | |
Total Care Port Arthur Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Texas Ave Ste E, Bridge City, TX 77611 Phone: 409-792-5521 Fax: 409-792-5523 | |
Your Medical Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Texas Ave Ste E, Bridge City, TX 77611 Phone: 833-698-6825 |