Shereen Naccour, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3282 College St
Beaumont, TX 77701-4610

Phone

(409) 212-7463

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shereen Manneh Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenbrook Medical Practice, PLLCGroup PAC ID 5092105627, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• FL HMO D-SNP
• FL PPO
• FL HMO C-SNP
• Optimum HealthCare HMO Network
• Freedom Health HMO Network
• FL HMO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenbrook Medical Practice, PLLC

  • Primary Care Clinic/Center
  • Seffner, FL
  • NPI 1457014342
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1003499898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014610",
            "telephone_number": "409-212-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014610",
            "telephone_number": "409-212-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACCOUR",
        "first_name": "SHEREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEREEN",
            "last_name": "MANNEH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• MW Medical EMS, LP (Liberty EMS)
• Mybody Wellness Laboratory (MyBody Beauty and Wellness)
• Terry W Myrick, MD
• N&N Pain & Injury Clinic, PA
• Orlen Nabors
• Jocelyn Nackley
• Nader Consultants LLC
• Lindsay Kay Nagel, FNP-C
• Pavan K Naidu, MD
• Nancy Endari D.D.S., P.a.

• Student in an Organized Health Care Education/Training Program in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.