Reeves Regional Physician Clinic | |
2349 Medical Drive Pecos TX 79772 | |
(432) 447-0565 | |
(432) 447-5053 |
Full Name | Reeves Regional Physician Clinic |
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Speciality | Family Medicine |
Location | 2349 Medical Drive, Pecos, Texas |
Authorized Official Name and Position | Brenda K Mckinney (CEO) |
Authorized Official Contact | 4324473551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Reeves Regional Physician Clinic 2349 Medical Drive Pecos TX 79772 Ph: (432) 447-3551 | Reeves Regional Physician Clinic 2349 Medical Drive Pecos TX 79772 Ph: (432) 447-0565 |
NPI Number | 1447417209 |
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Provider Enumeration Date | 05/20/2008 |
Last Update Date | 03/22/2023 |
Medicare PECOS PAC ID | 2567353469 |
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Medicare Enrollment ID | O20040503001121 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447417209 | NPI | - | NPPES |
082886501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Orville D Cerna |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376554709 PECOS PAC ID: 3173593795 Enrollment ID: I20040729001072 |
Provider Name | Steven E Serrano |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538256706 PECOS PAC ID: 8527134626 Enrollment ID: I20090316000182 |
Provider Name | Louis V Mcintire |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871696955 PECOS PAC ID: 1052466877 Enrollment ID: I20090831000650 |
Provider Name | Deitrick L Gorman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649281569 PECOS PAC ID: 1456430107 Enrollment ID: I20100322000793 |
Provider Name | Anand C Reddy |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1780892760 PECOS PAC ID: 2668661455 Enrollment ID: I20111209000338 |
Provider Name | Subhash K Nagalla |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1316142268 PECOS PAC ID: 5092809319 Enrollment ID: I20130605000296 |
Provider Name | James T Papesca |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1144209370 PECOS PAC ID: 7517976756 Enrollment ID: I20130628000007 |
Provider Name | Asif A Ansari |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1528299872 PECOS PAC ID: 4587882121 Enrollment ID: I20140825000056 |
Provider Name | William B Kutsche |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215971189 PECOS PAC ID: 8123006749 Enrollment ID: I20150306001165 |
Provider Name | James M Tarin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194168211 PECOS PAC ID: 3274803952 Enrollment ID: I20170728001237 |
Provider Name | Yvette M Riker |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1952499923 PECOS PAC ID: 4880646322 Enrollment ID: I20170822001464 |
Provider Name | Omar Salam |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1376777995 PECOS PAC ID: 6305097338 Enrollment ID: I20190430000829 |
Provider Name | Tamara L Cameron |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1689673535 PECOS PAC ID: 2961698055 Enrollment ID: I20190711000621 |
Provider Name | Shellece Lowe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508382904 PECOS PAC ID: 0749602910 Enrollment ID: I20200616001781 |
Provider Name | Carl Wingo |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1700889664 PECOS PAC ID: 4789592874 Enrollment ID: I20200709002834 |
Provider Name | Jonathan Burks |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1114960143 PECOS PAC ID: 2961449772 Enrollment ID: I20201228001495 |
Provider Name | Daniel Quang Le |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689341281 PECOS PAC ID: 8123412947 Enrollment ID: I20220222000021 |
Provider Name | Gerald Winemiller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316591522 PECOS PAC ID: 3173572765 Enrollment ID: I20230222001410 |
Provider Name | Chibuikem Samuel Dimgba |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1205533270 PECOS PAC ID: 0648620104 Enrollment ID: I20231223000154 |
Provider Name | Mary Alimat Raheem |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891574695 PECOS PAC ID: 2264884360 Enrollment ID: I20240112004297 |
Provider Name | Sandra B Anim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821422320 PECOS PAC ID: 3577880111 Enrollment ID: I20240207002619 |
Provider Name | Teresa Claire Evan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124422597 PECOS PAC ID: 2860719804 Enrollment ID: I20240411003138 |
Provider Name | Deana Denielle Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811451040 PECOS PAC ID: 7517308398 Enrollment ID: I20240510000711 |
Provider Name | Juan Carlos Narvaez Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861269938 PECOS PAC ID: 1254873904 Enrollment ID: I20240610000786 |
Reeves Regional Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2335 Medical Drive, Pecos, TX 79772 Phone: 432-447-3551 Fax: 432-447-5434 | |
Deitleman Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 S Iowa St, Pecos, TX 79772 Phone: 432-755-8106 | |
Orville D Cerna Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 W Daggett St, Pecos, TX 79772 Phone: 432-447-2030 Fax: 432-447-7347 |