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Michael Joseph Reardon

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

6550 Fannin St, Suite 1401, Houston, TX 77030-2717

PECOS Enrollment

This provider is enrolled in PECOS as MICHAEL REARDON.

Based on the most recent information from CMS, provider Michael Joseph Reardon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1174523229
Provider Type
Individual
Full Name
Reardon, Michael Joseph
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/29/2005
Last Updated
11/23/2016

Contact Information

Practice Location

6550 Fannin St, Suite 1401, Houston, TX 77030-2717

(713) 441-5200

(713) 793-7428

Mailing Location

6550 Fannin St, Ste 1401, Houston, TX 77030-2717

(713) 441-5200

(713) 793-7428

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License F1925 Texas

Provider Identifiers

ID	Description	Issuer
ID P01074938	Description Other	Issuer RR MEDICARE Texas
ID 8W8515	Description Other	Issuer BLUE CROSS BLUE SHIELD Texas
ID 8W8515	Description Other	Issuer BCBS Texas
ID 137550314	Description Medicaid	Issuer Unlisted Texas
ID 137550320	Description Medicaid	Issuer Unlisted Texas

Michael Joseph Reardon

PECOS Enrollment

Profile Details

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