East Texas Treatment Center is a medicare enrolled "Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf)" provider in Kilgore, Texas. Their current practice location is
1200 Dudley Rd, Kilgore, Texas. You can reach out to their office (for appointments etc.) via phone at
(903) 984-5571.
East Texas Treatment Center is licensed to practice in Texas (license number ) and it also participates in the medicare program. East Texas Treatment Center
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 1023002425.
Healthcare Provider's Profile
| Full Name | East Texas Treatment Center |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
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| Location | 1200 Dudley Rd, Kilgore, 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: 1023002425
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 02/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244253854
- Enrollment ID: O20060110000700
Medical Identifiers
Medical identifiers for East Texas Treatment Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023002425 | NPI | - | NPPES |
| 121835602 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 605680000 (Texas) | Secondary |
| 261QR0401X | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) | (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
East Texas Treatment Center acts as a billing entity for following providers:
| Provider Name | Mary K Mcgee |
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| Provider Type | Practitioner - Nephrology |
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| Provider Identifiers | NPI Number: 1770562183
PECOS PAC ID: 6901863562
Enrollment ID: I20041215000270 |
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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. East Texas Treatment Center 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 |
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East Texas Treatment Center
1200 Dudley Rd,
Kilgore, TX 75662-3306
Ph: (903) 984-5571 | East Texas Treatment Center
1200 Dudley Rd,
Kilgore, TX 75662-3306
Ph: (903) 984-5571 |
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