Ipc Pac Healthcare Services Of Texas Pllc - Medicare Mental Health Clinic in Addison, TX

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Ipc Pac Healthcare Services Of Texas Pllc is a medicare enrolled mental health clinic (Hospitalist) in Addison, Texas. The current practice location for Ipc Pac Healthcare Services Of Texas Pllc is 14131 Midway Rd, Suite 620, Addison, Texas. For appointments, you can reach them via phone at (972) 249-0200. The mailing address for Ipc Pac Healthcare Services Of Texas Pllc is 265 Brookview Centre Way, Suite 400, Knoxville, Tennessee and phone number is (865) 693-1000.

Ipc Pac Healthcare Services Of Texas Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194174201. 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 (972) 249-0200.

Contact Information

Ipc Pac Healthcare Services Of Texas Pllc
14131 Midway Rd
Suite 620
Addison
TX 75001-3623
(972) 249-0200
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameIpc Pac Healthcare Services Of Texas Pllc
SpecialityHospitalist
Location14131 Midway Rd, Addison, Texas
Authorized Official Name and PositionRobert Ray Frantz (OWNER/PRESIDENT)
Authorized Official Contact8656931000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ipc Pac Healthcare Services Of Texas Pllc
265 Brookview Centre Way
Suite 400
Knoxville
TN 37919-4052

Ph: (865) 693-1000		Ipc Pac Healthcare Services Of Texas Pllc
14131 Midway Rd
Suite 620
Addison
TX 75001-3623

Ph: (972) 249-0200

NPI Details:

NPI Number1194174201
Provider Enumeration Date06/09/2016
Last Update Date07/29/2016

Medicare PECOS Information:

Medicare PECOS PAC ID1759676307
Medicare Enrollment IDO20160823000163

Medical Identifiers

Medical identifiers for Ipc Pac Healthcare Services Of Texas Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194174201NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
364S00000XClinical Nurse Specialist (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
208M00000XHospitalist (* (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. Ipc Pac Healthcare Services Of Texas Pllc acts as a billing entity for following providers:
Provider NameElaine S Traylor
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1477565455
PECOS PAC ID: 7911802772
Enrollment ID: I20031204000554
Provider NamePatrice D Barnum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215096029
PECOS PAC ID: 3577536226
Enrollment ID: I20040819000579
Provider NameAneesha A Asher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023017175
PECOS PAC ID: 7719879105
Enrollment ID: I20040903000209
Provider NameAna Maria Tattersall-cocke
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1699727214
PECOS PAC ID: 4284682477
Enrollment ID: I20050104000957
Provider NameOmar A Zantua
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1083675359
PECOS PAC ID: 8820047459
Enrollment ID: I20050120000567
Provider NameLeroy K Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639131519
PECOS PAC ID: 2264482066
Enrollment ID: I20050129000046
Provider NameCaroline N Mbogua
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942221148
PECOS PAC ID: 0840240453
Enrollment ID: I20050131000765
Provider NameJeffrey Robert Eitel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558313163
PECOS PAC ID: 0941231526
Enrollment ID: I20050823000946
Provider NameBeverly S Gutierrez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023057528
PECOS PAC ID: 1153352414
Enrollment ID: I20050825001024
Provider NameVijaya Kavikondala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437129236
PECOS PAC ID: 4183649254
Enrollment ID: I20051007000336
Provider NameSharvari R Parghi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487663357
PECOS PAC ID: 3476659954
Enrollment ID: I20070430000213
Provider NameAndres Alaniz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225131717
PECOS PAC ID: 9436257102
Enrollment ID: I20070604000211
Provider NameJoyce M Thompson
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1306861448
PECOS PAC ID: 9234220807
Enrollment ID: I20070810000582
Provider NameLuis F Bieler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033126636
PECOS PAC ID: 6800980269
Enrollment ID: I20070917000585
Provider NamePatricia Z Mbola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962693523
PECOS PAC ID: 1254429731
Enrollment ID: I20071116000284
Provider NameSara Washa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427093582
PECOS PAC ID: 1052486511
Enrollment ID: I20080818000517
Provider NameFonshay Latrice Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588814263
PECOS PAC ID: 0840354833
Enrollment ID: I20090206000188
Provider NameLiam Mancuso
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1912163528
PECOS PAC ID: 6103973169
Enrollment ID: I20090408000208
Provider NameJerson Cadenas
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1487858080
PECOS PAC ID: 6103979240
Enrollment ID: I20090806000401
Provider NameAndrew J Rolniak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871543363
PECOS PAC ID: 2163558172
Enrollment ID: I20100330000184
Provider NameEdgar Alberto Trevino
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033370176
PECOS PAC ID: 4385700434
Enrollment ID: I20100607000155
Provider NameAmanda Rose Caro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548589815
PECOS PAC ID: 9234262346
Enrollment ID: I20100726000871
Provider NameJasmin M Baleva
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1033144167
PECOS PAC ID: 6103019674
Enrollment ID: I20101018000665
Provider NameGregory John Patton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699778043
PECOS PAC ID: 7012188097
Enrollment ID: I20110923000025
Provider NameU Kanti Murtineni
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689994840
PECOS PAC ID: 6103098801
Enrollment ID: I20110930000146
Provider NameLatha Jacob
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376826503
PECOS PAC ID: 8022282532
Enrollment ID: I20111118000471
Provider NameJohn W Richard
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659581643
PECOS PAC ID: 0648426171
Enrollment ID: I20120815000567
Provider NameJerome Charles Wasserstein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174584452
PECOS PAC ID: 6305825233
Enrollment ID: I20120829000201
Provider NameAkinwande Akintola
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942265038
PECOS PAC ID: 4688823057
Enrollment ID: I20120927000823
Provider NameCrystal Renee Garza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750658647
PECOS PAC ID: 7810148459
Enrollment ID: I20121108000260
Provider NameArwa F Laheri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982879359
PECOS PAC ID: 1951456102
Enrollment ID: I20130111000011
Provider NameShahab Ahmad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669649596
PECOS PAC ID: 1254576119
Enrollment ID: I20130325000160
Provider NameChaminda Fernando
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225359623
PECOS PAC ID: 0042453649
Enrollment ID: I20130829000666
Provider NameLebaone Llulu Mogotsakgotla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023456134
PECOS PAC ID: 9638305832
Enrollment ID: I20131118000959
Provider NameGeorgia Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922435650
PECOS PAC ID: 3476789025
Enrollment ID: I20131204000534
Provider NameKelechi C Okoli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962667725
PECOS PAC ID: 4789738683
Enrollment ID: I20140616000304
Provider NameLisa Lauren Mckinstry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811329667
PECOS PAC ID: 2668794363
Enrollment ID: I20141209000370
Provider NameDavid G Mata
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790129815
PECOS PAC ID: 0749509263
Enrollment ID: I20150505002706
Provider NameFeliscity Bassett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871980623
PECOS PAC ID: 1052628609
Enrollment ID: I20150915002643
Provider NameBincy Joji
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396105656
PECOS PAC ID: 2961791488
Enrollment ID: I20160523000741
Provider NameChristopher C Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902252687
PECOS PAC ID: 4981998846
Enrollment ID: I20160816001064
Provider NameEdna Akemu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447608278
PECOS PAC ID: 0840456810
Enrollment ID: I20160823002717
Provider NameTaofeekat Folashade Ajibade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427406834
PECOS PAC ID: 5597954701
Enrollment ID: I20160907001275
Provider NameNatali H Wooldridge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801240841
PECOS PAC ID: 7012203417
Enrollment ID: I20160912001240
Provider NameAlikia Abner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750834826
PECOS PAC ID: 5890921787
Enrollment ID: I20160929002035
Provider NameBrian F Savage
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770034464
PECOS PAC ID: 1759660954
Enrollment ID: I20161110001811
Provider NameAdrian Padilla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255618328
PECOS PAC ID: 3173782257
Enrollment ID: I20170117002076
Provider NameDonna Brunson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710434055
PECOS PAC ID: 6709168081
Enrollment ID: I20170120002315
Provider NameAdam Gomez
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1447693585
PECOS PAC ID: 1456638758
Enrollment ID: I20170515000073
Provider NameFiona Mao
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235665878
PECOS PAC ID: 3274801790
Enrollment ID: I20170623001918
Provider NameJayna Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043726862
PECOS PAC ID: 3678832946
Enrollment ID: I20180111002079
Provider NameLibby John
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598149932
PECOS PAC ID: 0345509345
Enrollment ID: I20180122000178
Provider NameUgochi Odinmah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326574195
PECOS PAC ID: 9133480775
Enrollment ID: I20180222002762
Provider NameJamie Hulm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013475813
PECOS PAC ID: 1658613674
Enrollment ID: I20190423001628
Provider NameAdrienne D Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033677414
PECOS PAC ID: 2163764481
Enrollment ID: I20190506002551
Provider NameKala Sugathan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558890632
PECOS PAC ID: 7517230824
Enrollment ID: I20190628002706
Provider NameEsther K Conteh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891247920
PECOS PAC ID: 2062747413
Enrollment ID: I20190709000092
Provider NameMohamad Z Siddiqui
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568742666
PECOS PAC ID: 4587881552
Enrollment ID: I20191107000672
Provider NameMari J. Finley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942575329
PECOS PAC ID: 8325471071
Enrollment ID: I20191210003059
Provider NameWinfred Gichimu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336615806
PECOS PAC ID: 3476987215
Enrollment ID: I20200102001682
Provider NameRenuka Sireesha Bellamkonda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326455569
PECOS PAC ID: 7315282712
Enrollment ID: I20200902000254
Provider NameAlice Nalondo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649832262
PECOS PAC ID: 2466879580
Enrollment ID: I20200903000329
Provider NameShini Robin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346870938
PECOS PAC ID: 1355760208
Enrollment ID: I20200928001002
Provider NameJennifer M Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104312362
PECOS PAC ID: 0042627614
Enrollment ID: I20210326000377
Provider NameFuro Uba Fabunmi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730719014
PECOS PAC ID: 7315346541
Enrollment ID: I20210520001580
Provider NameMarissa Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295324606
PECOS PAC ID: 7416355110
Enrollment ID: I20211011002487
Provider NameAudra B Holeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235512195
PECOS PAC ID: 9537476833
Enrollment ID: I20211206000050
Provider NameJamie Lea Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124783329
PECOS PAC ID: 1355731365
Enrollment ID: I20211207000834
Provider NameIqbal Singh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659754414
PECOS PAC ID: 7517215163
Enrollment ID: I20211228000302
Provider NameKanza Asim Soomro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770022279
PECOS PAC ID: 9931448628
Enrollment ID: I20220118001063
Provider NameObinna Akah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508440439
PECOS PAC ID: 2567865751
Enrollment ID: I20220121001298
Provider NameLinda Ngose Simo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558013896
PECOS PAC ID: 6204229552
Enrollment ID: I20220209000232
Provider NameAshlee Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003334798
PECOS PAC ID: 2264787704
Enrollment ID: I20220216000877
Provider NameLuis Ruben Tellez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841950979
PECOS PAC ID: 0345635793
Enrollment ID: I20220321002792
Provider NameFredrick Odongo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104582006
PECOS PAC ID: 7618362070
Enrollment ID: I20220322000307
Provider NameAnna Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639775620
PECOS PAC ID: 1658758966
Enrollment ID: I20220506000358
Provider NameShenella Carlisle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235641267
PECOS PAC ID: 8921353400
Enrollment ID: I20220601001879
Provider NameApril Marin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568100659
PECOS PAC ID: 1951780261
Enrollment ID: I20220616001619
Provider NameOlayomi Olonode
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316689102
PECOS PAC ID: 9931589470
Enrollment ID: I20220630001332
Provider NameNathaniel Maduakolam Nwosu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962134312
PECOS PAC ID: 4789067232
Enrollment ID: I20220816000763
Provider NameRia Lobarbio-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689024507
PECOS PAC ID: 1759675564
Enrollment ID: I20221122000843
Provider NameCarla Dennise Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164122149
PECOS PAC ID: 2062877483
Enrollment ID: I20230508000967
Provider NameMichelle Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003550369
PECOS PAC ID: 1557729845
Enrollment ID: I20230619000839
Provider NameAkosua Obeng-aduasare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598311896
PECOS PAC ID: 7911238571
Enrollment ID: I20230725000845
Provider NameNeeharika Mettupalli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245657683
PECOS PAC ID: 6608154844
Enrollment ID: I20230816001300
Provider NameRichard F Thompson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376551036
PECOS PAC ID: 8325094857
Enrollment ID: I20230905000466
Provider NameBerenice Angelica Tarin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740960905
PECOS PAC ID: 3274989405
Enrollment ID: I20231025000455
Provider NameDiana N Ratemo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750005500
PECOS PAC ID: 4587836465
Enrollment ID: I20231117001362
Provider NameCameron Edward Sheid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821874348
PECOS PAC ID: 3870943517
Enrollment ID: I20231221001466
Provider NameJeneba Sheriff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710477799
PECOS PAC ID: 8123461647
Enrollment ID: I20240212001799
Provider NameManuel Terry Davis
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1023170941
PECOS PAC ID: 5799127189
Enrollment ID: I20240530003395
Provider NameIhuoma Uko Udeh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497537930
PECOS PAC ID: 8426591777
Enrollment ID: I20240614003662
Provider NameFatima Foday Fofana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124725627
PECOS PAC ID: 6305381955
Enrollment ID: I20240708004121
Provider NameLinda Varghese
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326357898
PECOS PAC ID: 1456571991
Enrollment ID: I20240814004652
Provider NameAlessandra Santos Demoraes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205673613
PECOS PAC ID: 2163961426
Enrollment ID: I20240829004714
Provider NameMiranda Lemnue Muna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861260101
PECOS PAC ID: 5193265833
Enrollment ID: I20240910000502
Provider NameShalanda Williams
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1336609924
PECOS PAC ID: 1153855085
Enrollment ID: I20241114000645
Provider NameRobert Samsel
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174881783
PECOS PAC ID: 0345776514
Enrollment ID: I20241211001765
Provider NameChiazor Robin-ngbor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982462446
PECOS PAC ID: 6406384247
Enrollment ID: I20250108000485
Provider NameNember Ekole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073347886
PECOS PAC ID: 7315475043
Enrollment ID: I20250109000480
Provider NameBasil Ibhagbemien Uke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891441580
PECOS PAC ID: 3274056627
Enrollment ID: I20250326003655
Provider NameJane Nene Kalu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366283228
PECOS PAC ID: 4385050426
Enrollment ID: I20250428001837

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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.