| Redd Healthcare | |
|
811 N Main St Jasper TX 75951 | |
| (409) 489-8938 | |
| (251) 260-8205 |
| Full Name | Redd Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 811 N Main St, Jasper, Texas |
| Authorized Official Name and Position | Rebecca Marie Schneider (OWNER) |
| Authorized Official Contact | 4094898938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redd Healthcare Po Box 2048 Jasper TX 75951 Ph: (409) 594-0255 | Redd Healthcare 811 N Main St Jasper TX 75951 Ph: (409) 489-8938 |
| NPI Number | 1013472448 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 05/16/2023 |
| Medicare PECOS PAC ID | 3274873047 |
|---|---|
| Medicare Enrollment ID | O20190314002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013472448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebecca M Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811001423 PECOS PAC ID: 7012946627 Enrollment ID: I20050804000321 |
| Provider Name | Dale A Staggemeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346354941 PECOS PAC ID: 1456382654 Enrollment ID: I20050827000097 |
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