Rex L Mann, M.D.
Individual provider Active NPI Family Medicine Physician · Perryton, TX
NPI 1922065408 · NPPES record last updated Feb 24, 2010
Key facts
- NPI
- 1922065408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 752341765 (TX)
- Practice address
- 3019 S Main St
Perryton, TX 79070-5357 - Phone
- (806) 435-7154
- Fax
- (806) 435-6909
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake Granbury Hospital-Based Professional Services
Concord Medical Group PLLC
Practice addresses (Care Compare)
1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273
215 Chisholm TRL
Jacksboro, TX 76458-1403
Phone (940) 567-6633
Hospital & facility affiliations
- Lake Granbury Medical Center
- Comanche County Medical Center
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110629000471 | TX | Practitioner - Family Practice | 6901084540 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fisher County Hospital District | Current |
Accepting new patients | |
| Lake Granbury Hospital-Based Professional Services | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Ochiltree Hospital District | Current |
Accepting new patients | |
| Ochiltree Hospital District | Current |
Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| Southwest Medical Associates, Inc. | Current |
Accepting new patients | |
| Fisher County Hospital District | Current |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424
1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281
5309 E US Highway 377
Granbury, TX 76049
Phone (682) 498-6890
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528
3019 S Main St
Perryton, TX 79070
Phone (806) 435-2122
3101 Garrett Dr
Rm Phys
Perryton, TX 79070
3101 Garrett Dr
Perryton, TX 79070
Phone (806) 435-3606
774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256
Interoperability endpoints
- rex.mann.1@23838.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 752341765 | TX | Yes |
Addresses
Primary practice location
3019 S Main St
Perryton, TX 79070-5357
Mailing address
3019 S Main St
Perryton, TX 79070-5357
Phone (806) 435-7154
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111461301 | Medicaid | TX |
Other providers in Perryton, TX
- Lisa Renee Horton
- Suzanna Lynn Jarrell
- Jennifer T McGaughy DO PA
- Kenneth Dale Johnson
- Tyler Kirklin
- Casey Don McGarraugh
- Jennifer Theresa McGaughy
- Erma Jean McGinn
- Missionary Baptist Foundation of America, Inc
- Alyce Ann Morton
All providers in Perryton, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2010. 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.