| Bayside Clinic | |
|
621 S Ross Sterling Anahuac TX 77514 | |
| (409) 267-4126 | |
| (409) 267-4120 |
| Full Name | Bayside Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 621 S Ross Sterling, Anahuac, Texas |
| Authorized Official Name and Position | Robert Pascasio (CEO) |
| Authorized Official Contact | 4092673143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Clinic Po Box 398 Anahuac TX 77514-0398 Ph: (409) 267-4126 | Bayside Clinic 621 S Ross Sterling Anahuac TX 77514 Ph: (409) 267-4126 |
| NPI Number | 1417032343 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 09/21/2023 |
| Medicare PECOS PAC ID | 0244225670 |
|---|---|
| Medicare Enrollment ID | O20080116000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417032343 | NPI | - | NPPES |
| 0002556037 | Other | TX | AETNA HMO |
| 0005356055 | Other | TX | AETNA NON HMO |
| 127254402 | Medicaid | TX | |
| 127254406 | Medicaid | TX | |
| 00R17Z | Other | TX | BLUE CROSS BLUE SHIELD |
| 127254404 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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