| Emem Idem, MD | |
|
2600 E Pflugerville Pkwy Ste 100, Pflugerville, TX 78660-5999 | |
| (512) 654-6100 | |
| Not Available |
| Full Name | Emem Idem |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 2600 E Pflugerville Pkwy Ste 100, Pflugerville, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063741221 | NPI | - | NPPES |
| 373078YLP2 | Other | TX | MEDICARE |
| 373078YKXY | Other | TX | MEDICARE |
| 341747905 | Medicaid | TX | |
| 373078YKXV | Other | TX | MEDICARE |
| 373078YLP1 | Other | TX | MEDICARE |
| 341747902 | Medicaid | TX | |
| 341747903 | Medicaid | TX | |
| 341747904 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P9372 (Texas) | Secondary |
| 208M00000X | Hospitalist | 3271054 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville, NC | Hospital |
| Methodist Mansfield Medical Center | Mansfield, TX | Hospital |
| Miami Valley Hospital | Dayton, OH | Hospital |
| Upper Valley Medical Center | Troy, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hisey Physician Services, Llc | 8426495292 | 64 |
| Mvhe Inc | 9537066584 | 395 |
| Hospitalist Physicians Of Indiana Pc | 1052795986 | 151 |
| Quantum Emergency Physicians Pa | 1153414503 | 84 |
| Lonestar Hospital Medicine Associates Pa | 6709049703 | 124 |
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 801 |
| Ipc Healthcare Services Of Texas Pllc | 3971824939 | 184 |
| Entity Name | Mvhe Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
| Entity Name | Upper Valley Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407872518 PECOS PAC ID: 5597658138 Enrollment ID: O20040206000038 |
| Entity Name | Hospital Medicine Services Of Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073781597 PECOS PAC ID: 6103997747 Enrollment ID: O20080625000293 |
| Entity Name | Sinclair Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063289601 PECOS PAC ID: 9830536911 Enrollment ID: O20240325002978 |
| Entity Name | Hisey Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073380614 PECOS PAC ID: 8426495292 Enrollment ID: O20240328002362 |
| Mailing Address | Practice Location Address |
|---|---|
| Emem Idem, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Emem Idem, MD 2600 E Pflugerville Pkwy Ste 100, Pflugerville, TX 78660-5999 Ph: (512) 654-6100 |