| Triangle Area Network Inc | |
|
1495 N 7th St Ste 5 Beaumont TX 77702-1301 | |
| (409) 832-3377 | |
| (409) 832-3349 |
| Full Name | Triangle Area Network Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1495 N 7th St, Beaumont, Texas |
| Authorized Official Name and Position | Amanda M Gibson (COO) |
| Authorized Official Contact | 4098328338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Area Network Inc 1495 N 7th St Beaumont TX 77702-1345 Ph: (409) 832-8338 | Triangle Area Network Inc 1495 N 7th St Ste 5 Beaumont TX 77702-1301 Ph: (409) 832-3377 |
| NPI Number | 1376584789 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 09/13/2022 |
| Medicare PECOS PAC ID | 3870502339 |
|---|---|
| Medicare Enrollment ID | O20060411000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376584789 | NPI | - | NPPES |
| 0060PD | Other | TX | BCBS |
| 1960627-01 | Medicaid | TX | |
| 741944 | Other | MEDICARE PART A |
| Provider Name | Kashi S Bagri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730166075 PECOS PAC ID: 9739248477 Enrollment ID: I20081110000393 |
| Provider Name | Anita L Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992771224 PECOS PAC ID: 7113199548 Enrollment ID: I20111007000269 |
| Provider Name | Shannon Ray Schrader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629056304 PECOS PAC ID: 0547291221 Enrollment ID: I20111118000223 |
| Provider Name | Laurie K Reimers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386036705 PECOS PAC ID: 3577870260 Enrollment ID: I20150912000233 |
| Provider Name | Glenna F Hudgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578668745 PECOS PAC ID: 3375770936 Enrollment ID: I20160914000975 |
| Provider Name | Jaimie Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366954935 PECOS PAC ID: 4486907615 Enrollment ID: I20181105002454 |
| Provider Name | Wendi Ellen Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033725718 PECOS PAC ID: 4789074063 Enrollment ID: I20211130001684 |
| Provider Name | Alicia Georgetown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609481043 PECOS PAC ID: 7810376233 Enrollment ID: I20220615001264 |
| Provider Name | Myeisha Tane' Casmire Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821527284 PECOS PAC ID: 8426437708 Enrollment ID: I20220616000403 |
| Provider Name | Larissa Deblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083154330 PECOS PAC ID: 7911374285 Enrollment ID: I20221031001939 |
| Provider Name | Kimberly Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225781651 PECOS PAC ID: 7911346515 Enrollment ID: I20240416000980 |
| Provider Name | Bianca Woolridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932974219 PECOS PAC ID: 6709328131 Enrollment ID: I20240612003688 |
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