| Jerome Lee Sang, MD | |
|
107 Cedar Dr, Portland, TX 78374-2935 | |
| (361) 643-6623 | |
| (361) 643-4111 |
| Full Name | Jerome Lee Sang |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 107 Cedar Dr, Portland, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164449948 | NPI | - | NPPES |
| 8902N0 | Other | TX | BCBS |
| 110220227 | Other | RAILROAD MCR | |
| 147443901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K0513 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Siloe Home Health & Infusion Llc | Corpus christi, TX | Home health agency |
| Cornerstone Home Health | Rockport, TX | Home health agency |
| Assist Home Health | Corpus christi, TX | Home health agency |
| Brookdale Home Health Corpus Christi | Corpus christi, TX | Home health agency |
| Harbor Hospice Of Gulf Coast Lp | Rockport, TX | Hospice |
| Harbor Hospice Of Bay City, Lp | Bay city, TX | Hospice |
| Coastal Palms Nursing & Rehabilitation | Portland, TX | Nursing home |
| Gulf Pointe Plaza | Rockport, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management Of Texas, P.a. | 8729302278 | 108 |
| Entity Name | Jerome Lee Sang Md, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194889105 PECOS PAC ID: 8123005543 Enrollment ID: O20040702000962 |
| Entity Name | Conviva Medical Center Management Of Texas, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770988990 PECOS PAC ID: 8729302278 Enrollment ID: O20150112000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Lee Sang, MD 107 Cedar Dr, Portland, TX 78374-2935 Ph: (361) 643-6623 | Jerome Lee Sang, MD 107 Cedar Dr, Portland, TX 78374-2935 Ph: (361) 643-6623 |
Mrs. Marissa Sanchez Leal, APRN FNP-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137 | |
David Benitez, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 | |
Dr. Laura Isela Soler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 Cedar Dr, Portland, TX 78374 Phone: 361-643-6623 Fax: 361-643-6964 |