Brazos Valley Hematology Oncology Associates PA
A Medicare group practice based in Bryan, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6709880271), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6709880271
- Provider type
- DME Supplier - Pharmacy, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TX
- Enrollments
- 2
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20061127000080 | TX | Part B Supplier - Clinic/Group Practice | 1376594432 |
| O20210128002339 | TX | DME Supplier - Pharmacy | 1952920076 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Brazos Valley Hematology Oncology Associates, PA
dba Brazos Valley Cancer Center
- Hematology & Oncology Physician
- Bryan, TX
- NPI 1376594432
-
Brazos Valley Hematology Oncology Associates, PA
dba Cancer Clinic Pharmacy
- Community/Retail Pharmacy
- College Station, TX
- NPI 1952920076
Practice locations
- Bryan, TX2
- College Station, TX1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (6).
-
Pamela Proctor Criscitiello, AGPCNP, MSN, RN, OCN
- Adult Health Nurse Practitioner
- Bryan, TX
- NPI 1790479152
-
Charis Durham, M.D.
- Hematology & Oncology Physician
- Bryan, TX
- NPI 1538547401
-
Erin E Fleener, M.D.
- Hematology & Oncology Physician
- Bryan, TX
- NPI 1295775005
-
Mark Floyd, MD
- Hematology & Oncology Physician
- Bryan, TX
- NPI 1144595539
-
Kacie Wallace Gonzales
- Physician Assistant
- Bryan, TX
- NPI 1649899600
-
Terry R Jenkins, M.D.
- Hematology & Oncology Physician
- Bryan, TX
- NPI 1063467298
-
Ellain Joy Demaisip Stoutenburg, APRN, FNP-C
- Family Nurse Practitioner
- Bryan, TX
- NPI 1235772351
-
Kumud S Tripathy, M.D.
- Medical Oncology Physician
- Bryan, TX
- NPI 1811949407
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.