| Dr Robert Michael Mena, MD | |
|
538 Broadway, Winnie, TX 77665-7600 | |
| (409) 296-6000 | |
| Not Available |
| Full Name | Dr Robert Michael Mena |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 538 Broadway, Winnie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073657482 | NPI | - | NPPES |
| 55392 | Other | ID | BLUE CROSS |
| 1111689 | Other | ID | MEDICARE |
| 000010144342 | Other | ID | BLUE SHIELD OF IDAHO |
| 806670100 | Medicaid | ID | |
| 820227163B004 | Other | ID | TRICARE |
| 820227163G041 | Other | ID | TRICARE |
| 000010144054 | Other | ID | BLUE SHIELD OF IDAHO |
| 553925 | Other | ID | BLUE CROSS OF IDAHO |
| J9430 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | T0566 (Texas) | Secondary |
| 207Q00000X | Family Medicine | M8898 (Idaho) | Primary |
| Entity Name | Winnie Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316623481 PECOS PAC ID: 3375440894 Enrollment ID: O20031218000349 |
| Entity Name | Deaf Smith County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568454403 PECOS PAC ID: 8123923497 Enrollment ID: O20040510000475 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Dimmit Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164774253 PECOS PAC ID: 0446385496 Enrollment ID: O20121129000364 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Michael Mena, MD 718 Avenue A, Winnie, TX 77665-8890 Ph: () - | Dr Robert Michael Mena, MD 538 Broadway, Winnie, TX 77665-7600 Ph: (409) 296-6000 |
Dr. William Clay Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1178 2nd St, Winnie, TX 77665 Phone: 409-296-9505 Fax: 409-296-2506 | |
Dr. Leonidas S Andres, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6000 Fax: 409-396-6372 | |
Dr. Michael Lyons, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2584 State Highway 124, Winnie, TX 77665 Phone: 409-296-4444 Fax: 409-296-4445 | |
Nedrana Boutte, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-9505 Fax: 409-296-2506 |