| Matagorda Episcopal Health Outreach Program | |
|
1700 Golden Ave Bay City TX 77414-3122 | |
| (979) 245-2008 | |
| (979) 245-0744 |
| Full Name | Matagorda Episcopal Health Outreach Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Golden Ave, Bay City, Texas |
| Authorized Official Name and Position | Celeste Harrison (CEO) |
| Authorized Official Contact | 9792452008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matagorda Episcopal Health Outreach Program 101 Avenue F N Bay City TX 77414-3167 Ph: (979) 245-2008 | Matagorda Episcopal Health Outreach Program 1700 Golden Ave Bay City TX 77414-3122 Ph: (979) 245-2008 |
| NPI Number | 1598024788 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 06/16/2025 |
| Medicare PECOS PAC ID | 6002853538 |
|---|---|
| Medicare Enrollment ID | O20050415000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598024788 | NPI | - | NPPES |
| 173656301 | Medicaid | TX | |
| 00642Y | Other | TX | MEDICARE |
| Provider Name | Rakesh J Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003897430 PECOS PAC ID: 5193772010 Enrollment ID: I20050404000325 |
| Provider Name | Mary Shimek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366449944 PECOS PAC ID: 5799718771 Enrollment ID: I20050912000775 |
| Provider Name | Katie Kubecka Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184837700 PECOS PAC ID: 9335234301 Enrollment ID: I20071010000331 |
| Provider Name | Jayanthi B Ramu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396887535 PECOS PAC ID: 8729168059 Enrollment ID: I20081111000722 |
| Provider Name | Farhana Ambreen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831383355 PECOS PAC ID: 7911036256 Enrollment ID: I20100526000100 |
| Provider Name | Nilesh J Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407860513 PECOS PAC ID: 5991888703 Enrollment ID: I20100603000716 |
| Provider Name | Robin Lynn Ferguson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376507681 PECOS PAC ID: 1254461445 Enrollment ID: I20100615000394 |
| Provider Name | Susan Winchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790749513 PECOS PAC ID: 1153453220 Enrollment ID: I20100726000373 |
| Provider Name | Priscilla J Metcalf |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699739797 PECOS PAC ID: 4688707508 Enrollment ID: I20100729000364 |
| Provider Name | Henri Ann Nortman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851355838 PECOS PAC ID: 6800929761 Enrollment ID: I20100729000835 |
| Provider Name | Analiza T Justo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669651725 PECOS PAC ID: 6103971569 Enrollment ID: I20160121000251 |
| Provider Name | Melissa Lister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053759118 PECOS PAC ID: 3375832652 Enrollment ID: I20160511000166 |
| Provider Name | Tara Y Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801107180 PECOS PAC ID: 7214226604 Enrollment ID: I20160525002485 |
| Provider Name | Tayyab Pasha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528402997 PECOS PAC ID: 9638461494 Enrollment ID: I20160714001755 |
| Provider Name | Kunjamma Sebastian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821073248 PECOS PAC ID: 8123398575 Enrollment ID: I20170718003444 |
| Provider Name | Ayotunde Faweya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609104785 PECOS PAC ID: 0840477006 Enrollment ID: I20170905001688 |
| Provider Name | Cara Lee Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649793175 PECOS PAC ID: 8527334192 Enrollment ID: I20171026000563 |
| Provider Name | Olubukola Omobolaji Ayeni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972915023 PECOS PAC ID: 4688968217 Enrollment ID: I20181017002192 |
| Provider Name | Adekunbi Obisesan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144765132 PECOS PAC ID: 2062751118 Enrollment ID: I20190307000132 |
| Provider Name | Kaitlin Annettte Palermo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801354170 PECOS PAC ID: 3678816667 Enrollment ID: I20190514002726 |
| Provider Name | Andrea Michelle Saha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700494788 PECOS PAC ID: 8325463086 Enrollment ID: I20200729001375 |
| Provider Name | Katherine Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891305975 PECOS PAC ID: 9638594575 Enrollment ID: I20200810000581 |
| Provider Name | Erin C Ryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710586094 PECOS PAC ID: 0345653630 Enrollment ID: I20210105002453 |
| Provider Name | Ariana M Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578201349 PECOS PAC ID: 7719331933 Enrollment ID: I20230921002801 |
| Provider Name | Blake M Benson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740770361 PECOS PAC ID: 2769831429 Enrollment ID: I20240122001633 |
| Provider Name | Justine Strelczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427894625 PECOS PAC ID: 1052858180 Enrollment ID: I20240806003971 |
| Provider Name | Beryl L Southall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629695291 PECOS PAC ID: 0143756163 Enrollment ID: I20241212004430 |
| Provider Name | Tho C Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841841434 PECOS PAC ID: 1759793730 Enrollment ID: I20250304001359 |
Matagorda Episcopal Health Outreach Program Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Avenue F, Bay City, TX 77414 Phone: 979-245-2008 Fax: 979-245-2205 | |
Matagorda County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 7th St, Bay City, TX 77414 Phone: 979-241-5520 Fax: 979-245-1525 | |
Discovery Medical Network Matagorda Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Hospital Cir, Bay City, TX 77414 Phone: 979-245-0001 Fax: 979-244-8103 | |
Matagorda Episcopal Health Outreach Program Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Ida Ave, Bay City, TX 77414 Phone: 979-245-2008 Fax: 979-245-0242 | |
Smg Signature Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Avenue F N, Bay City, TX 77414 Phone: 979-282-6800 Fax: 979-282-6805 | |
Baycity Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3406 Avenue F, Bay City, TX 77414 Phone: 979-323-9931 Fax: 979-323-9971 | |
Dane D Simons Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Avenue G, Bay City, TX 77414 Phone: 979-245-5721 Fax: 979-245-1482 |