Surgical Group Of North Texas, Pllc is a medicare enrolled "Surgery" provider in Grapevine, Texas. Their current practice location is
1056 Texan Trl, Grapevine, Texas. You can reach out to their office (for appointments etc.) via phone at
(817) 251-0070.
Surgical Group Of North Texas, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Surgical Group Of North Texas, 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 1124085956.
Healthcare Provider's Profile
| Full Name | Surgical Group Of North Texas, Pllc |
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| Type | Facility |
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| Speciality | Surgery |
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| Location | 1056 Texan Trl, Grapevine, 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: 1124085956
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 12/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 3476523515
- Enrollment ID: O20040727001504
Medical Identifiers
Medical identifiers for Surgical Group Of North Texas, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124085956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Surgical Group Of North Texas, Pllc acts as a billing entity for following providers:
| Provider Name | Sina Matin |
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| Provider Type | Practitioner - General Surgery |
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| Provider Identifiers | NPI Number: 1366481228
PECOS PAC ID: 3375454622
Enrollment ID: I20040428001593 |
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| Provider Name | Julio R Rivera |
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| Provider Type | Practitioner - General Surgery |
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| Provider Identifiers | NPI Number: 1316980410
PECOS PAC ID: 1658282991
Enrollment ID: I20040629001497 |
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| Provider Name | Edward J Clifford |
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| Provider Type | Practitioner - General Surgery |
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| Provider Identifiers | NPI Number: 1730122763
PECOS PAC ID: 9739090085
Enrollment ID: I20060106000191 |
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| Provider Name | Nathan L Emerson |
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| Provider Type | Practitioner - General Surgery |
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| Provider Identifiers | NPI Number: 1568671436
PECOS PAC ID: 5092873323
Enrollment ID: I20140919001070 |
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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. Surgical Group Of North Texas, 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 |
|---|
Surgical Group Of North Texas, Pllc
Po Box 204803,
Dallas, TX 75320-4803
Ph: (817) 251-0070 | Surgical Group Of North Texas, Pllc
1056 Texan Trl,
Grapevine, TX 76051-3703
Ph: (817) 251-0070 |
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