Rylan Rashaun Reese
Individual provider Active NPI Physician Assistant · Electra, TX
NPI 1578282893 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1578282893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1207 S Bailey St
Electra, TX 76360-3221 - Phone
- (940) 495-3981
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Electra Hospital District
Practice addresses (Care Compare)
1207 S Bailey St
Electra, TX 76360-3221
Phone (940) 495-3981
Hospital & facility affiliations
- Electra Memorial Hospital
- United Regional Health Care System
- Hardeman County Memorial Hospital
- Electra Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241127003504 | TX | Practitioner - Physician Assistant | 9739614264 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Electra Hospital District | Current | Accepting new patients | |
| Electra Hospital District | Current |
Accepting new patients | |
| Electra Hospital District | Current |
Accepting new patients |
Locations
1207 S Bailey St
Electra, TX 76360
Phone (940) 495-3981
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1207 S Bailey St
Electra, TX 76360-3221
Mailing address
1207 S Bailey St
Electra, TX 76360-3221
Other providers in Electra, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.