| Mid County Medical Group Pa | |
|
2501 Jimmy Johnson Blvd Ste 110a Port Arthur TX 77640-2000 | |
| (409) 344-4466 | |
| (409) 600-8525 |
| Full Name | Mid County Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2501 Jimmy Johnson Blvd Ste 110a, Port Arthur, Texas |
| Authorized Official Name and Position | Michael L Mcmahon (PRACTICE OWNER) |
| Authorized Official Contact | 4093444466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid County Medical Group Pa 2940 Spurlock Rd Nederland TX 77627-6313 Ph: (409) 344-4466 | Mid County Medical Group Pa 2501 Jimmy Johnson Blvd Ste 110a Port Arthur TX 77640-2000 Ph: (409) 344-4466 |
| NPI Number | 1568470136 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 07/22/2024 |
| Medicare PECOS PAC ID | 6305875923 |
|---|---|
| Medicare Enrollment ID | O20050804000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568470136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Michael L Mcmahon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548240641 PECOS PAC ID: 0941239578 Enrollment ID: I20050808000536 |
| Provider Name | Kelly Melissa Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205121548 PECOS PAC ID: 9133377179 Enrollment ID: I20120917000100 |
| Provider Name | Melissa C Mckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699198754 PECOS PAC ID: 4789807884 Enrollment ID: I20140519000221 |
| Provider Name | Ashley N Bryce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573201 PECOS PAC ID: 9335461441 Enrollment ID: I20141201000035 |
| Provider Name | Georgiana Turk Flournoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720537954 PECOS PAC ID: 7517234743 Enrollment ID: I20170518001965 |
| Provider Name | Courtney Beth Keeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417456500 PECOS PAC ID: 9931460557 Enrollment ID: I20180222001726 |
| Provider Name | Kristen Nicole Voivedich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700384310 PECOS PAC ID: 8123389194 Enrollment ID: I20180308000709 |
| Provider Name | Brent Lane Mazzagate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952904104 PECOS PAC ID: 5698188712 Enrollment ID: I20210111001527 |
| Provider Name | Hoang James T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528698693 PECOS PAC ID: 7214343599 Enrollment ID: I20210311000445 |
Medplus Mobile Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3636 Professional Dr Ste 2, Port Arthur, TX 77642 Phone: 409-719-6035 | |
First Response Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3620 Highway 365, Suite 400, Port Arthur, TX 77642 Phone: 409-344-4557 Fax: 409-344-4587 | |
Sreedhar Polavarapu Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2501 Jimmy Johnson Blvd, Suite 207, Port Arthur, TX 77642 Phone: 409-722-7500 Fax: 409-293-4401 | |
Allure Healthcare,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3609 9th Ave, Port Arthur, TX 77642 Phone: 409-237-2322 | |
Robert T. Warhola, D.o., P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5885 W Port Arthur Rd, Port Arthur, TX 77640 Phone: 409-736-2800 Fax: 409-736-0361 | |
Premise Health Of Texas Medical, P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 S Gulfway Dr, Port Arthur, TX 77640 Phone: 409-985-1819 Fax: 409-985-1079 | |
Ipc Of Texas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 |