Hillside Primary Care Pllc - Medicare Mental Health Clinic in Live Oak, TX

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Hillside Primary Care Pllc is a medicare enrolled mental health clinic (Internal Medicine) in Live Oak, Texas. The current practice location for Hillside Primary Care Pllc is 12410 Toepperwein Rd, Live Oak, Texas. For appointments, you can reach them via phone at (210) 742-6555. The mailing address for Hillside Primary Care Pllc is 12410 Toepperwein Rd, Live Oak, Texas and phone number is (210) 742-6555.

Hillside Primary Care Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205349040. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (210) 742-6555.

Contact Information

Hillside Primary Care Pllc
12410 Toepperwein Rd
Live Oak
TX 78233-3230
(210) 742-6555
(224) 623-0079

Map and Direction


Mental Health Clinic Profile

Full NameHillside Primary Care Pllc
SpecialityInternal Medicine
Location12410 Toepperwein Rd, Live Oak, Texas
Authorized Official Name and PositionDerin Patel (MEDICAL DOCTOR / OWNER)
Authorized Official Contact2107426555
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hillside Primary Care Pllc
12410 Toepperwein Rd
Live Oak
TX 78233-3230

Ph: (210) 742-6555		Hillside Primary Care Pllc
12410 Toepperwein Rd
Live Oak
TX 78233-3230

Ph: (210) 742-6555

NPI Details:

NPI Number1205349040
Provider Enumeration Date11/15/2017
Last Update Date12/24/2024
Certification Date12/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0648530386
Medicare Enrollment IDO20180129000878

Medical Identifiers

Medical identifiers for Hillside Primary Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205349040NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0805XPsychiatry & Neurology - Geriatric Psychiatry (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LW0102XNurse Practitioner - Women's Health (* (Not Available))Secondary
207R00000XInternal Medicine (* (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. Hillside Primary Care Pllc acts as a billing entity for following providers:
Provider NameSuneeta Naik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245276732
PECOS PAC ID: 3971493131
Enrollment ID: I20040319000573
Provider NameWassim K Choucair
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1962496620
PECOS PAC ID: 7113911520
Enrollment ID: I20040409000083
Provider NameOkey Okoli
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1215949144
PECOS PAC ID: 9234124512
Enrollment ID: I20040416000531
Provider NameSandra T Rocha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518938687
PECOS PAC ID: 5496785131
Enrollment ID: I20101215000893
Provider NameMariann M Craddock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295019503
PECOS PAC ID: 7810143781
Enrollment ID: I20120808000479
Provider NameTracey Cawthorn
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982850665
PECOS PAC ID: 1658516588
Enrollment ID: I20130326000248
Provider NameLaurie A Incledon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467708933
PECOS PAC ID: 7012151442
Enrollment ID: I20130924000964
Provider NameAmita Kumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992968481
PECOS PAC ID: 3577689702
Enrollment ID: I20131023000665
Provider NameLajja J Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144454406
PECOS PAC ID: 7719156496
Enrollment ID: I20140328000900
Provider NameErika Eisenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477990364
PECOS PAC ID: 7214160837
Enrollment ID: I20140507000174
Provider NameDerinbhai Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306165014
PECOS PAC ID: 1052552700
Enrollment ID: I20171026003109
Provider NameJordan Deliman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1548641566
PECOS PAC ID: 1557615333
Enrollment ID: I20181114000699
Provider NameKaren Ann Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063703510
PECOS PAC ID: 6103166103
Enrollment ID: I20190328001294
Provider NameGarrick Gordon Naylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801360698
PECOS PAC ID: 2466793351
Enrollment ID: I20190402001613
Provider NameVictor Labrado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629629803
PECOS PAC ID: 1557693330
Enrollment ID: I20191028002410
Provider NameKristen Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215546601
PECOS PAC ID: 2668887381
Enrollment ID: I20210210001929
Provider NameRoy Brent Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609489533
PECOS PAC ID: 9830598523
Enrollment ID: I20210601000104
Provider NameRobert D Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528707759
PECOS PAC ID: 6507247657
Enrollment ID: I20220720001951
Provider NameFlorence Pugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780188128
PECOS PAC ID: 6709260680
Enrollment ID: I20220825003029
Provider NameCourtney Flores
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770216178
PECOS PAC ID: 9032587670
Enrollment ID: I20221201002318
Provider NameElizabeth Kay Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821501123
PECOS PAC ID: 8527431618
Enrollment ID: I20230311000056
Provider NameJuan Carlos Perez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841999703
PECOS PAC ID: 8628443124
Enrollment ID: I20230415000135
Provider NameSafaa Soueid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225734320
PECOS PAC ID: 7911362413
Enrollment ID: I20230506000303
Provider NameMelinda Zamora
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184351330
PECOS PAC ID: 4789041229
Enrollment ID: I20230529000031
Provider NameFatima El Maanaoui
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720715121
PECOS PAC ID: 8820456965
Enrollment ID: I20230621002346
Provider NameAbbi Mcdaniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346938446
PECOS PAC ID: 4688032709
Enrollment ID: I20230622001315
Provider NameMariana Ontiveros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912696493
PECOS PAC ID: 1759736739
Enrollment ID: I20231011001589
Provider NameKrista Pasquale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215633508
PECOS PAC ID: 2264882109
Enrollment ID: I20231219001528
Provider NameCrystal Eujenia Molina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558141754
PECOS PAC ID: 4385097757
Enrollment ID: I20240201002070
Provider NameMonalisa Churchman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043080104
PECOS PAC ID: 8527403336
Enrollment ID: I20240304000745
Provider NameSean Welch
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1801451653
PECOS PAC ID: 2567803125
Enrollment ID: I20240514001181
Provider NameChiniqua L Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861265233
PECOS PAC ID: 4082158571
Enrollment ID: I20240625003373
Provider NameNadia Morales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356120729
PECOS PAC ID: 9032653340
Enrollment ID: I20240627002586
Provider NameRoselyn Omungo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467212282
PECOS PAC ID: 9739623091
Enrollment ID: I20240627004199
Provider NameMary Willow Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124889217
PECOS PAC ID: 1557801701
Enrollment ID: I20240913002994
Provider NameEmily Stansberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720836158
PECOS PAC ID: 0143751404
Enrollment ID: I20240927001363
Provider NamePriyanka Suzanne Mooney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750129425
PECOS PAC ID: 5294267977
Enrollment ID: I20241018002740
Provider NameMenuka Prasain Dhakal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508691510
PECOS PAC ID: 4789116237
Enrollment ID: I20241022002627
Provider NameMark Bentley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730767138
PECOS PAC ID: 7810397270
Enrollment ID: I20241101001406
Provider NameVamsi Garimella
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639745706
PECOS PAC ID: 5193259158
Enrollment ID: I20241113001820
Provider NameAngela Y Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144045832
PECOS PAC ID: 1951837129
Enrollment ID: I20241211001875
Provider NameAnais Santoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952116691
PECOS PAC ID: 9537680855
Enrollment ID: I20250304000017
Provider NameEmily Gonzales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871398636
PECOS PAC ID: 1850812108
Enrollment ID: I20250304000956
Provider NameSeyed Mahdi Hosseini Siahkalmahalleh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861217259
PECOS PAC ID: 4183145444
Enrollment ID: I20250304001404
Provider NameJoni Maxwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003637208
PECOS PAC ID: 9931620457
Enrollment ID: I20250312002755

Reviews and Comments

Internal Medicine in Live Oak, TX

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Phone: 210-701-0525    Fax: 210-960-5070
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Phone: 512-537-4065    Fax: 512-539-2881
Rhapsody Counseling And Wellness Center Pc
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Medicare: Medicare Enrolled
Practice Location: 11901 Toepperwein Rd Ste 1106, Live Oak, TX 78233
Phone: 210-286-9339    Fax: 210-951-8962
Tulia Grove
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11901 Toepperwein Rd Ste 1202, Live Oak, TX 78233
Phone: 210-782-0374    
Neuropro Of Texas
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 12412 Judson Rd, Live Oak, TX 78233
Phone: 210-331-7266    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.