Central River Healthcare Group, Pllc is a medicare enrolled "Emergency Medicine - Sports Medicine" provider in Austin, Texas. Their current practice location is
1918 E Riverside Dr, South Austin Medical & Health Clinic, Austin, Texas. You can reach out to their office (for appointments etc.) via phone at
(512) 326-9200.
Central River Healthcare Group, Pllc is licensed to practice in Texas (license number L1765) and it also participates in the medicare program. Central River Healthcare Group, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295813764.
Healthcare Provider's Profile
| Full Name | Central River Healthcare Group, Pllc |
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| Type | Facility |
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| Speciality | Emergency Medicine - Sports Medicine |
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| Location | 1918 E Riverside Dr, Austin, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295813764
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 04/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 9032193578
- Enrollment ID: O20051222000390
Medical Identifiers
Medical identifiers for Central River Healthcare Group, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295813764 | NPI | - | NPPES |
| 161008101 | Medicaid | TX | |
| 00553V | Other | TX | BCBS OF TEXAS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 8016 (Texas) | Secondary |
| 207PS0010X | Emergency Medicine - Sports Medicine | L1765 (Texas) | Primary |
| 207Q00000X | Family Medicine | M7463 (Texas) | Secondary |
| 207Q00000X | Family Medicine | M5120 (Texas) | Secondary |
| 207Q00000X | Family Medicine | H4396 (Texas) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | L1765 (Texas) | Secondary |
| 207R00000X | Internal Medicine | L1765 (Texas) | Secondary |
| 208D00000X | General Practice | M2793 (Texas) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Central River Healthcare Group, Pllc acts as a billing entity for following providers:
| Provider Name | Loann The Trinh |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1548240799
PECOS PAC ID: 8022005792
Enrollment ID: I20040427000167 |
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| Provider Name | Tony Dang |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1083795199
PECOS PAC ID: 9133226459
Enrollment ID: I20070522000326 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Central River Healthcare Group, Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Central River Healthcare Group, Pllc
8557 Research Blvd Ste 128,
Austin, TX 78758-7855
Ph: (512) 326-9200 | Central River Healthcare Group, Pllc
1918 E Riverside Dr, South Austin Medical & Health Clinic,
Austin, TX 78741-1323
Ph: (512) 326-9200 |
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