| Lis Carol Bernuy, MD | |
|
1612 W Villa Maria Rd Ste 130, Bryan, TX 77807-2309 | |
| (979) 690-4836 | |
| (979) 690-4837 |
| Full Name | Lis Carol Bernuy |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 1612 W Villa Maria Rd Ste 130, Bryan, 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 |
|---|---|---|---|
| 1154613735 | NPI | - | NPPES |
| 341070601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301098212 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 64163 (Connecticut) | Primary |
| 207Q00000X | Family Medicine | Q0413 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson Memorial Hospital | Stafford springs, CT | Hospital |
| Bon Secours Community Hospital | Port jervis, NY | Hospital |
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
| Cep America Llc | 6608056171 | 732 |
| Delaware River Medicine Pllc | 4981034550 | 21 |
| Emergency Medicine Services Of Fl Llc | 8426413931 | 491 |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | Nes Medical Services Of Northern Connecticut, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447231865 PECOS PAC ID: 7315843968 Enrollment ID: O20040112000084 |
| Entity Name | Emergency Physicians Of Connecticut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902278906 PECOS PAC ID: 8820390214 Enrollment ID: O20151231000158 |
| Entity Name | Emergency Care Services Of Connecticut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518519461 PECOS PAC ID: 0042541229 Enrollment ID: O20191021000580 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700681202 PECOS PAC ID: 6608056171 Enrollment ID: O20250319001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Lis Carol Bernuy, MD 2800 S Texas Ave, Suite 202, Bryan, TX 77802-5361 Ph: (979) 774-2060 | Lis Carol Bernuy, MD 1612 W Villa Maria Rd Ste 130, Bryan, TX 77807-2309 Ph: (979) 690-4836 |
Timothy Lee Neff, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2801 Franciscan Dr, Bryan, TX 77802 Phone: 979-776-2568 | |
Anthony David Amoroso, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2801 Franciscan Dr, Bryan, TX 77802 Phone: 979-776-3777 | |
Eileen Montross, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2801 Franciscan Dr, Bryan, TX 77802 Phone: 979-776-2568 | |
Ted Graham, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3134 Briarcrest Dr, Bryan, TX 77802 Phone: 979-314-2323 | |
Charles B Williams, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2801 Franciscan Dr, Bryan, TX 77802 Phone: 979-776-2568 | |
Vasco Chi Ho Cheuk, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2801 Franciscan Dr, Bryan, TX 77802 Phone: 979-776-2568 | |
Dr. Robert Alexander Howard, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2010 E Villa Maria Rd, Suite A, Bryan, TX 77802 Phone: 979-821-7373 Fax: 979-691-0123 |