Midlothian Medical & Sports Center, Pllc is a medicare enrolled "General Practice" provider in Midlothian, Texas. Their current practice location is
460 S. 14th Street, Midlothian, Texas. You can reach out to their office (for appointments etc.) via phone at
(972) 723-1155.
Midlothian Medical & Sports Center, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Midlothian Medical & Sports Center, 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 1841991346.
Healthcare Provider's Profile
| Full Name | Midlothian Medical & Sports Center, Pllc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 460 S. 14th Street, Midlothian, 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: 1841991346
- Provider Enumeration Date: 03/13/2023
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991150732
- Enrollment ID: O20231013000610
Medical Identifiers
Medical identifiers for Midlothian Medical & Sports Center, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841991346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Midlothian Medical & Sports Center, Pllc acts as a billing entity for following providers:
| Provider Name | Brad W Collins |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1871549154
PECOS PAC ID: 1850345927
Enrollment ID: I20050310001042 |
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| Provider Name | Lauren Elizabeth Johnson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1215426168
PECOS PAC ID: 3779837380
Enrollment ID: I20181119001131 |
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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. Midlothian Medical & Sports Center, 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 |
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Midlothian Medical & Sports Center, Pllc
460 S. 14th Street,
Midlothian, TX 76065
Ph: (972) 723-1155 | Midlothian Medical & Sports Center, Pllc
460 S. 14th Street,
Midlothian, TX 76065
Ph: (972) 723-1155 |
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