Pierre G Mardelli, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L5452 Issued in TX

Practice address

4342 Treanor Dr
Abilene, TX 79602-7012

Phone

(325) 673-0900

NPI assigned

Jul 8, 2021

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dr. Brettly J. Teague, LLC

  dba Big Country Eye Center

  • Ophthalmology Physician
  • Abilene, TX
  • NPI 1083875934
  Medicare reassignment NPD

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1043881394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 TREANOR DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027012",
            "telephone_number": "325-673-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 TREANOR DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027012",
            "telephone_number": "325-673-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDELLI",
        "first_name": "PIERRE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L5452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Kenneth Mansfield, DC
• Holly Mansur, FNP-C
• Jody R Manuel, P.A.
• Anidtra Michelle March, LVN
• Marcus a McCray
• Mark B. Reedy, M.D., PLLC
• Mark S Maxwell
• Samuel Scott Maroney, D.O.
• Marshall Turnbull MD, PA
• Michael Marshall, RN

• Ophthalmology Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.