San Antonio Healthcare Center Llc is a medicare enrolled "Nurse Practitioner - Family" provider in San Antonio, Texas. Their current practice location is
303 E Quincy St, Suite 102, San Antonio, Texas. You can reach out to their office (for appointments etc.) via phone at
(210) 229-7242.
San Antonio Healthcare Center Llc is licensed to practice in Texas (license number 777944) and it also participates in the medicare program. San Antonio Healthcare Center Llc
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 1639596216.
Healthcare Provider's Profile
| Full Name | San Antonio Healthcare Center Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 303 E Quincy St, San Antonio, 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: 1639596216
- Provider Enumeration Date: 03/21/2014
- Last Update Date: 03/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 9638393242
- Enrollment ID: O20140620000864
Medical Identifiers
Medical identifiers for San Antonio Healthcare Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639596216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NN0400X | Chiropractor - Neurology | 7412 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 777944 (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.
San Antonio Healthcare Center Llc acts as a billing entity for following providers:
| Provider Name | Thimios D Partalas |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1396859211
PECOS PAC ID: 7315098886
Enrollment ID: I20140620001335 |
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| Provider Name | Kasey A Frye |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1609058908
PECOS PAC ID: 5294796512
Enrollment ID: I20150608000998 |
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| Provider Name | Douglas L Lu |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1013925130
PECOS PAC ID: 0143250860
Enrollment ID: I20201013000048 |
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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. San Antonio Healthcare Center Llc 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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San Antonio Healthcare Center Llc
303 E Quincy St, Suite 102,
San Antonio, TX 78215-1918
Ph: (210) 229-7242 | San Antonio Healthcare Center Llc
303 E Quincy St, Suite 102,
San Antonio, TX 78215-1918
Ph: (210) 229-7242 |
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