Rehan Memon (NPI# 1053433938, PAC ID# 0749348928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1053433938 |
| PAC ID by PECOS | 0749348928 |
| Professional Enrollment ID | I20140215000079 |
| Full Name | Rehan Memon |
| Organization Legal Name | MANDM CLINICAL GROUP |
| Address |
235 W Palm St Suite 104 Bellville TX 77418-1300 |
| Phone Number | 7133691969 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 4587986468 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450709 | HOUSTON METHODIST ST JOHN HOSPITAL |
| 450097 | BAYSHORE MEDICAL CENTER |
| 670109 | ALTUS BAYTOWN HOSPITAL |
| 450253 | ST JOSEPH HEALTH - BELLVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 235 W Palm St, Suite 104, Bellville, TX 77418-1300 | 7133691969 | MANDM CLINICAL GROUP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_408_overall | Opioid Therapy Follow-up Evaluation | 100% | |
| MIPS_EC_412_overall | Documentation of Signed Opioid Treatment Agreement | 80% |
| Organization Legal Name | MANDM CLINICAL GROUP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zedeeka A Duke | Nurse Practitioner | Mandm Clinical Group | 2020 Nasa Pkway, Suite 220, Houston, TX 77058-3683 |
| Peiw Lu | Nurse Practitioner | Mandm Clinical Group | 2020 Nasa Pkway, Suite 220, Houston, TX 77058-3683 |
| Street Address |
235 W PALM ST SUITE 104 |
| City | BELLVILLE |
| State | TX |
| Zip | 77418-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Asmussen | Physician Assistant | Scott and White Clinic | 235 W Palm St, 106 Baylor Scott and White Clinic Bellvi, Bellville, TX 77418-1300 |
| Amelia R Williams | Physician Assistant | St Joseph Regional Health Center | 235 W Palm St, 107 Texas Brain and Spine Institute, Bellville, TX 77418-1300 |
| Kimberly Kaye Koehn | Nurse Practitioner | Scott and White Clinic | 235 W Palm St, 106 Baylor Scott and White Clinic Bellvi, Bellville, TX 77418-1300 |
| Don R Bosse | Internal Medicine | St Joseph Regional Health Center | 235 W Palm St, 105 Chi St Joseph Health Internal Medicine, Bellville, TX 77418-1300 |
| Natalie Renee Mcelhany | Nurse Practitioner | St Joseph Regional Health Center | 235 W Palm St, 105 Chi St Joseph Health Internal Medicine, Bellville, TX 77418-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry W Krumrey | Chiropractic | 784 W Main St, Bellville, TX 77418-1213 | |
| Charles Gay | Family Medicine | 235 W Palm, Suite 102, Bellville, TX 77418-1300 | |
| Steven A Beim | Ophthalmology | 235 W Palm, Suite 101, Bellville, TX 77418-1300 | |
| Robert G Cochran | Family Medicine | Concord Medical Group of Texas Pllc | 44 N Cummings St, Bellville, TX 77418-1347 |
| Edward C Boytim | Certified Registered Nurse Anesthetist (crna) | Performance Anesthesia Services, LLC | 44 N Cummings St, Bellville, TX 77418-1347 |
| Richard Glass | Certified Registered Nurse Anesthetist | Colorado Valley Anesthesia LLP | 44 N Cummings St, Bellville, TX 77418-1347 |
| Moromoke Odina | Internal Medicine | Pine Medical Pllc | 1412 S Front St, Bellville, TX 77418-3307 |
| Michael T Reid | Chiropractic | 1408 S Front St, Bellville, TX 77418-3307 | |
| Felicia Ayoade | Nurse Practitioner | Pine Medical Pllc | 1412 S Front St, Bellville, TX 77418-3307 |
| David W Gajewski | Emergency Medicine | Pine Medical Pllc | 1412 S Front St, Bellville, TX 77418-3307 |
| Find all physicians in zip 77418 | |||
| City | BELLVILLE |
| Zip Code | 77418 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | BELLVILLE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Rehan Memon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.