| Mamoun E Bashir, MD | |
|
701 W. 5th Street, Department Of Internal Medicine, Suite 3106, Odessa, TX 79763 | |
| (432) 703-5340 | |
| (432) 335-5297 |
| Full Name | Mamoun E Bashir |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 28 Years |
| Location | 701 W. 5th Street, Odessa, 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 |
|---|---|---|---|
| 1588851232 | NPI | - | NPPES |
| 1588851232 | Medicaid | TX | |
| 194080104 | Medicaid | TX | |
| 194080107 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | M9147 (Texas) | Primary |
| 207R00000X | Internal Medicine | M9147 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fresenius Medical Care Desert Milagro Dialysis Center | Odessa, TX | Dialysis facility |
| Fresenius Medical Care Permian Basin | Midland, TX | Dialysis facility |
| Medical Center Hospital | Odessa, TX | Hospital |
| Midland Memorial Hospital | Midland, TX | Hospital |
| Odessa Regional Medical Center | Odessa, TX | Hospital |
| Permian Regional Medical Center Andrews County Ho | Andrews, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midland Kidney Care Pllc | 7315248408 | 5 |
| 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 | Comprehensive Hospitalist Services Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295062198 PECOS PAC ID: 8022150036 Enrollment ID: O20100128000411 |
| 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 |
| Entity Name | Midland Kidney Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881067973 PECOS PAC ID: 7315248408 Enrollment ID: O20151215000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Mamoun E Bashir, MD 701 W. 5th Street, Department Of Internal Medicine, Suite 3106, Odessa, TX 79763 Ph: (432) 703-5340 | Mamoun E Bashir, MD 701 W. 5th Street, Department Of Internal Medicine, Suite 3106, Odessa, TX 79763 Ph: (432) 703-5340 |
Augusto C Sepulveda, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 8050 E Highway 191, Suite 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-337-0301 | |
Suresh Prasad, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 403 Pittsburg Ave, Odessa, TX 79761 Phone: 432-332-3400 Fax: 432-332-6500 | |
Dr. Armugam Prasad Mekala, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4778 | |
Shashank Satish Nayak, M.D. Nephrology Medicare: May Accept Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5375 | |
Dr. Timothy Kilian George, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 | |
Sam Eun Kim, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8050 E Highway 191, Ste 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-561-5014 | |
Dr. Pankaj Khandelwal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 |