| Arc Serenity Service | |
|
13521 Montfort Dr Dallas TX 75240-5120 | |
| (214) 302-7171 | |
| (657) 213-2652 |
| Full Name | Arc Serenity Service |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 13521 Montfort Dr, Dallas, Texas |
| Authorized Official Name and Position | Jebeh Baimba (OWNER) |
| Authorized Official Contact | 8326777015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arc Serenity Service 13521 Montfort Dr Dallas TX 75240-5120 Ph: (214) 302-7171 | Arc Serenity Service 13521 Montfort Dr Dallas TX 75240-5120 Ph: (214) 302-7171 |
| NPI Number | 1659092096 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 09/05/2022 |
| Certification Date | 09/05/2022 |
| Medicare PECOS PAC ID | 8426434077 |
|---|---|
| Medicare Enrollment ID | O20221005000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659092096 | NPI | - | NPPES |
| 1075618 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Primary |
| Provider Name | Jebeh Baimba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144799834 PECOS PAC ID: 5496096802 Enrollment ID: I20221005000250 |
Perry K. Beckstrom, DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 |
John A. Demopulos, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 |
North Dallas Orthopedics & Rehabilitation, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 |
Abounding Prosperity Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1705 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 214-421-4800 |
Premier Medical Services LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 |