Diana C Bankhead (NPI# 1316977820, PAC ID# 6709835739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1316977820 |
| PAC ID by PECOS | 6709835739 |
| Professional Enrollment ID | I20080513000089 |
| Full Name | Diana C Bankhead |
| Address |
139 Maxine St Mineola TX 75773-1011 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| 450864 | BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL |
| 450102 | MOTHER FRANCES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 139 Maxine St, Mineola, TX 75773-1011 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Street Address |
139 MAXINE ST |
| City | MINEOLA |
| State | TX |
| Zip | 75773-1011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Mark Hawari | Optometry | 1238 N Pacific St, Mineola, TX 75773-1002 | |
| Charles P Mcgonagill | Optometry | J. Carl Norris, Od PC | 1238 N Pacific St, Mineola, TX 75773-1002 |
| Jamie Johnson | Nurse Practitioner | Trinity Clinic | 1302 N Pacific St, Christus Trinity Clinic, Mineola, TX 75773-1022 |
| Teri Curington | Nurse Practitioner | 320 Greenville Ave, Mineola, TX 75773-1032 | |
| Jose Ricardo Martinez | Internal Medicine | Etmc Physician Group, Inc. | 1220 N Pacific St, Mineola, TX 75773-1054 |
| Johnny A Colegrove | Chiropractic | 1044 N Pacific St, Mineola, TX 75773-1838 | |
| Robert M Elliott | Family Medicine | 415 W Kilpatrick, Mineola, TX 75773-2032 | |
| Danielle Gloster | Optometry | 135 Ne Loop, 564 Vision Center, Mineola, TX 75773-2913 |
| City | MINEOLA |
| Zip Code | 75773 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | MINEOLA + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Diana C Bankhead.
| 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.