| M Medical Group Se Llc | |
|
121 Commons Dr Athens TX 75751-0009 | |
| (903) 677-3434 | |
| Not Available |
| Full Name | M Medical Group Se Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 121 Commons Dr, Athens, Texas |
| Authorized Official Name and Position | Melissa Reep (BILLING MANAGER) |
| Authorized Official Contact | 8883072425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Medical Group Se Llc 6 E Eager St Baltimore MD 21202-2506 Ph: (888) 307-2425 | M Medical Group Se Llc 121 Commons Dr Athens TX 75751-0009 Ph: (903) 677-3434 |
| NPI Number | 1609530013 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 06/09/2026 |
| Medicare PECOS PAC ID | 4385037670 |
|---|---|
| Medicare Enrollment ID | O20220209001431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609530013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Secondary |
| Provider Name | Gillian Trinette Generoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598108953 PECOS PAC ID: 9234422965 Enrollment ID: I20211027001693 |
| Provider Name | Gerard Moawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568576858 PECOS PAC ID: 7911931589 Enrollment ID: I20220209001652 |
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