Gulf Coast Health Center Inc

A Medicare group practice based in Port Arthur, TX: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 5597675215), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5597675215The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
10
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 4 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20230111002041 TX Part A Provider - Federally Qualified Health Center (FQHC) 1285354746
O20251231002889 TX Part A Provider - Federally Qualified Health Center (FQHC) 1578287389
O20140206000296 TX Part A Provider - Federally Qualified Health Center (FQHC) 1205275054
O20160805001864 TX DME Supplier - Physician - Optometrist 1912904897
O20030508000013 TX Part A Provider - Federally Qualified Health Center (FQHC) 1912904897
O20030508000016 TX Part A Provider - Federally Qualified Health Center (FQHC) 1225036932
O20030508000017 TX Part A Provider - Federally Qualified Health Center (FQHC) 1508864216
O20030508000019 TX Part A Provider - Federally Qualified Health Center (FQHC) 1639176324
O20040105000446 TX Part B Supplier - Clinic/Group Practice 1912904897
O20220930002783 TX Part A Provider - Federally Qualified Health Center (FQHC) 1609596493

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 28

Clinicians who reassign their Medicare benefits to this group (28) or whom Care Compare lists as members (12).

Sources for this page