| Michael Leon Gaines, FNP-C | |
|
815 N Virginia St Fl 2, Port Lavaca, TX 77979-3025 | |
| (361) 552-0379 | |
| (361) 500-6904 |
| Full Name | Michael Leon Gaines |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 815 N Virginia St Fl 2, Port Lavaca, 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 |
|---|---|---|---|
| 1043734882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP134737 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Calhoun Home Health Llc | Port lavaca, TX | Home health agency |
| Memorial Medical Center | Port lavaca, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Medical Center | 3072403096 | 15 |
| Ucp Physicians Of Central Texas, Pllc | 3173697935 | 95 |
| Entity Name | Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689630865 PECOS PAC ID: 3072403096 Enrollment ID: O20040316000136 |
| Entity Name | Palacios Community Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780786699 PECOS PAC ID: 0840278164 Enrollment ID: O20040825001401 |
| 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 | Ucp Physicians Of Central Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922289412 PECOS PAC ID: 3173697935 Enrollment ID: O20080729000203 |
| Entity Name | Lone Star Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457709040 PECOS PAC ID: 7113054446 Enrollment ID: O20100419000563 |
| Entity Name | Nluc Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518209113 PECOS PAC ID: 3072752302 Enrollment ID: O20130618000619 |
| 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 | 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 | Next Level Mv Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013432285 PECOS PAC ID: 5991062085 Enrollment ID: O20171128000837 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Leon Gaines, FNP-C 220 Bonham St, Port Lavaca, TX 77979-2605 Ph: (361) 935-5027 | Michael Leon Gaines, FNP-C 815 N Virginia St Fl 2, Port Lavaca, TX 77979-3025 Ph: (361) 552-0379 |
Mrs. Tasha Norman, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-500-6904 | |
Mr. Gregorio Jose Robles Fernandez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 N Virginia St, Port Lavaca, TX 77979 Phone: 832-691-4694 | |
Courtne L Thurlkill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-500-6904 | |
Kristi Boyd, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-6713 | |
Mrs. Shanmei Lin Martinez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 | |
Anna Lindsay Cobb, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 524 Village Rd, Port Lavaca, TX 77979 Phone: 361-552-3741 Fax: 210-569-6527 |