Premier Mediclinic Pa is a medicare enrolled "Physician Assistant - Medical" provider in Mission, Texas. Their current practice location is
4101 S Shary Rd Ste 101a, Mission, Texas. You can reach out to their office (for appointments etc.) via phone at
(956) 687-8120.
Premier Mediclinic Pa is licensed to practice in Texas (license number PA03404) and it also participates in the medicare program. Premier Mediclinic Pa
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 1639627805.
Healthcare Provider's Profile
| Full Name | Premier Mediclinic Pa |
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| Type | Facility |
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| Speciality | Physician Assistant - Medical |
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| Location | 4101 S Shary Rd Ste 101a, Mission, 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: 1639627805
- Provider Enumeration Date: 09/16/2016
- Last Update Date: 07/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709154396
- Enrollment ID: O20170525000868
Medical Identifiers
Medical identifiers for Premier Mediclinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639627805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA03404 (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.
Premier Mediclinic Pa acts as a billing entity for following providers:
| Provider Name | Shahid Rashid |
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| Provider Type | Practitioner - Pain Management |
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| Provider Identifiers | NPI Number: 1679514905
PECOS PAC ID: 4789655606
Enrollment ID: I20041101000065 |
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| Provider Name | Marivel Alvarez |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1043098700
PECOS PAC ID: 8022279512
Enrollment ID: I20231006000434 |
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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. Premier Mediclinic Pa 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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Premier Mediclinic Pa
4101 S Shary Rd Ste 101a,
Mission, TX 78572-1717
Ph: (956) 687-8120 | Premier Mediclinic Pa
4101 S Shary Rd Ste 101a,
Mission, TX 78572-1717
Ph: (956) 687-8120 |
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