| Mary Manis, MS MD | |
|
Rusk State Hospital, 1601 North Dickinson Drive, Rusk, TX 75785 | |
| (903) 683-7436 | |
| (903) 683-7302 |
| Full Name | Mary Manis |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | Rusk State Hospital, Rusk, 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 |
|---|---|---|---|
| 1457352288 | NPI | - | NPPES |
| 1286064-06 | Medicaid | TX | |
| 127101 | Other | TX | SUPERIOR |
| 0011KW | Other | TX | BLUECROSS BLUESHIELD |
| 1286064-07 | Other | TX | MEDICAID THSTEPS |
| P00166344 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J1974 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hermann Northeast Hospital | Humble, TX | Hospital |
| Kingwood Medical Center | Kingwood, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerwell Senior Primary Care Tx Pa | 4789950247 | 76 |
| Select Physical Therapy Texas Limited Partnership | 6608868070 | 466 |
| Entity Name | Health And Human Services Commission |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
| Entity Name | Centerwell Senior Primary Care Tx Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861959298 PECOS PAC ID: 4789950247 Enrollment ID: O20190327001232 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Manis, MS MD Rusk State Hospital, 1601 North Dickinson Drive, Rusk, TX 75785 Ph: (903) 683-7436 | Mary Manis, MS MD Rusk State Hospital, 1601 North Dickinson Drive, Rusk, TX 75785 Ph: (903) 683-7436 |
James Mark Morris, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1801 N Dickinson Dr, Rusk, TX 75785 Phone: 903-683-3600 Fax: 903-683-3692 |