| Roussel Clement, MD | |
|
6265 39th St, Groves, TX 77619-4614 | |
| (409) 962-4400 | |
| (409) 962-4412 |
| Full Name | Roussel Clement |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 6265 39th St, Groves, 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 |
|---|---|---|---|
| 1710977913 | NPI | - | NPPES |
| TXB143105 | Medicaid | TX | |
| 155554203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L5284 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Applied Health Care Nursing Division, Inc. | Houston, TX | Home health agency |
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| The Medical Center Of Southeast Texas | Port arthur, TX | Hospital |
| Tyler County Hospital | Woodville, TX | Hospital |
| Baptist Beaumont Hospital | Beaumont, TX | Hospital |
| Entity Name | Roussel Clement Mdpa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720147762 PECOS PAC ID: 4486655446 Enrollment ID: O20070118000416 |
| Entity Name | Texas Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235472556 PECOS PAC ID: 8921248162 Enrollment ID: O20140115001155 |
| Entity Name | Southeast Texas Inpatient Physician Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477986891 PECOS PAC ID: 2668605205 Enrollment ID: O20140506000185 |
| Entity Name | Ess Of Nacogdoches Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780139956 PECOS PAC ID: 3375821630 Enrollment ID: O20161021000335 |
| Entity Name | Ess Of Port Lavaca Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922546936 PECOS PAC ID: 2769766005 Enrollment ID: O20170303001868 |
| Entity Name | Dynamic Anesthesia Providers, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346752326 PECOS PAC ID: 0547529596 Enrollment ID: O20180119000344 |
| Entity Name | Paramount Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518610393 PECOS PAC ID: 8224425301 Enrollment ID: O20220419001743 |
| Entity Name | Priority Wound Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982345617 PECOS PAC ID: 6901273564 Enrollment ID: O20221110002195 |
| Entity Name | Shalom Health Care Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083324404 PECOS PAC ID: 7618348731 Enrollment ID: O20230126002865 |
| Mailing Address | Practice Location Address |
|---|---|
| Roussel Clement, MD 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 | Roussel Clement, MD 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 |