Centrum Medical Group, Pllc - Medicare Primary Care in Katy, TX

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Centrum Medical Group, Pllc is a medicare enrolled primary clinic (General Practice) in Katy, Texas. The current practice location for Centrum Medical Group, Pllc is 1463 S Mason Rd, Katy, Texas. For appointments, you can reach them via phone at (305) 266-2929. The mailing address for Centrum Medical Group, Pllc is 9250 Nw 36th St Ste 420, Doral, Florida and phone number is (305) 266-2929.

Centrum Medical Group, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376219543. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (305) 266-2929.

Contact Information

Centrum Medical Group, Pllc
1463 S Mason Rd
Katy
TX 77450-4568
(305) 266-2929
(786) 558-0242

Map and Direction


Primary Care Clinic Profile

Full NameCentrum Medical Group, Pllc
SpecialityGeneral Practice
Location1463 S Mason Rd, Katy, Texas
Authorized Official Name and PositionGraciela Vanessa Victorero (COO)
Authorized Official Contact3052662929
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centrum Medical Group, Pllc
9250 Nw 36th St Ste 420
Doral
FL 33178-2775

Ph: (305) 266-2929		Centrum Medical Group, Pllc
1463 S Mason Rd
Katy
TX 77450-4568

Ph: (305) 266-2929

NPI Details:

NPI Number1376219543
Provider Enumeration Date08/18/2021
Last Update Date01/27/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9234500984
Medicare Enrollment IDO20230117002598

Medical Identifiers

Medical identifiers for Centrum Medical Group, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376219543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Centrum Medical Group, Pllc acts as a billing entity for following providers:
Provider NameTheresa R Seck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982785242
PECOS PAC ID: 0143312371
Enrollment ID: I20070817000432
Provider NameRosemary O Obudulu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740215029
PECOS PAC ID: 9830289776
Enrollment ID: I20071217000186
Provider NameOlugbeminiyi Olubanjo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427274042
PECOS PAC ID: 2567546906
Enrollment ID: I20080910000221
Provider NameHetal N Gandhi
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1013936905
PECOS PAC ID: 5597764480
Enrollment ID: I20100120000752
Provider NameJudith G Erickson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821029307
PECOS PAC ID: 6002004249
Enrollment ID: I20110103000633
Provider NameGuocheng D He
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1255661971
PECOS PAC ID: 0547416125
Enrollment ID: I20120814000643
Provider NameAyesha S Khan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154578243
PECOS PAC ID: 7012068877
Enrollment ID: I20170315001968
Provider NameChinaka M Dike
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184148645
PECOS PAC ID: 5698048015
Enrollment ID: I20170907000692
Provider NameMichaela Ermanie Herbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902305246
PECOS PAC ID: 0547523904
Enrollment ID: I20180417001754
Provider NameDara B Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912484932
PECOS PAC ID: 9133464290
Enrollment ID: I20181218000483
Provider NameMahwish Y Ilyas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982869293
PECOS PAC ID: 3476710112
Enrollment ID: I20190311001926
Provider NameRachel Denti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356997555
PECOS PAC ID: 7911237706
Enrollment ID: I20190920000897
Provider NameJessica Lauren Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598397515
PECOS PAC ID: 1951711829
Enrollment ID: I20201104000534
Provider NameEgodi Agatha Onuoha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316550239
PECOS PAC ID: 4587079199
Enrollment ID: I20210212000284
Provider NameMeriam S Ahmed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609426733
PECOS PAC ID: 4587060207
Enrollment ID: I20210903002358
Provider NameDairon M Garcia Aguilera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891380689
PECOS PAC ID: 6800294034
Enrollment ID: I20211001001731
Provider NameJini Mankuzha Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528738515
PECOS PAC ID: 0840681318
Enrollment ID: I20211217001403
Provider NameBenjamin Phen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265404065
PECOS PAC ID: 5991887408
Enrollment ID: I20220412001734
Provider NameSovannarat Floyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013591569
PECOS PAC ID: 7911384946
Enrollment ID: I20220513000388
Provider NameSaira Bari Anwar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609337583
PECOS PAC ID: 5294108239
Enrollment ID: I20230222001948
Provider NameJeshma Martin Mathew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932814555
PECOS PAC ID: 0244605020
Enrollment ID: I20230410000263
Provider NameLatonya W Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467161075
PECOS PAC ID: 1153796602
Enrollment ID: I20230414000288
Provider NameLeslie Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083316988
PECOS PAC ID: 0749646164
Enrollment ID: I20230509002707
Provider NameCharles Misori
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629171293
PECOS PAC ID: 6709885338
Enrollment ID: I20230716000132
Provider NameSheebamol Thambi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356083356
PECOS PAC ID: 3274994769
Enrollment ID: I20230731003837
Provider NameAkhi Saha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841650041
PECOS PAC ID: 2567897184
Enrollment ID: I20230802001175
Provider NameYanique Cummings-miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023779428
PECOS PAC ID: 1254793144
Enrollment ID: I20230809001089
Provider NamePaulina Acquaye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902573066
PECOS PAC ID: 7719349497
Enrollment ID: I20230811001425
Provider NameSachi Chandran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609345966
PECOS PAC ID: 4789046293
Enrollment ID: I20230816000373
Provider NameValerie Nana Gyebi-antwi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306508072
PECOS PAC ID: 2567825805
Enrollment ID: I20230901003471
Provider NameJudith Chandy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316192743
PECOS PAC ID: 6901252915
Enrollment ID: I20231027000986
Provider NameNathaly Vega Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730813734
PECOS PAC ID: 2062857790
Enrollment ID: I20240304001875
Provider NameEula Nelson Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619352804
PECOS PAC ID: 5496191132
Enrollment ID: I20241031003988

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.