Dr Ellen Jean Remenchik, MD is a medicare enrolled "Internal Medicine" physician in Lindale, Texas. Her current practice location is
103 Cannery Row, Lindale, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 882-3194.
Dr Ellen Jean Remenchik is licensed to practice in California (license number 196118) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821089095.
Physician's Profile
| Full Name | Dr Ellen Jean Remenchik |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 103 Cannery Row, Lindale, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821089095
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 06/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496768483
- Enrollment ID: I20080201000114
Medical Identifiers
Medical identifiers for Dr Ellen Jean Remenchik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821089095 | NPI | - | NPPES |
| 138384615 | Medicaid | TX | |
| P00456696 | Other | TX | RR MEDICARE |
| 138384621 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | G8366 (Texas) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 35447 (Arizona) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | G8366 (Texas) | Secondary |
| 207R00000X | Internal Medicine | 196118 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ellen Jean Remenchik allows following entities to bill medicare on her behalf.
| Entity Name | The University Of Texas Health Science Center At San Antonio |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720051717
PECOS PAC ID: 0042128548
Enrollment ID: O20040607000664 |
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| Entity Name | Phynet Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144245176
PECOS PAC ID: 8527038298
Enrollment ID: O20040729000674 |
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| Entity Name | Premier Pain Consultants Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003835133
PECOS PAC ID: 0840241865
Enrollment ID: O20050208000329 |
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| Entity Name | Vpa Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702 |
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| Entity Name | Tmc Provider Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053784660
PECOS PAC ID: 6305149121
Enrollment ID: O20160127002626 |
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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. Dr Ellen Jean Remenchik 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 |
|---|
Dr Ellen Jean Remenchik, MD
103 Cannery Row,
Lindale, TX 75771
Ph: (903) 882-3194 | Dr Ellen Jean Remenchik, MD
103 Cannery Row,
Lindale, TX 75771
Ph: (903) 882-3194 |
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