| Carebridge Medteam, Llc | |
|
515 N 3rd St Longview TX 75601-6546 | |
| (903) 475-3474 | |
| Not Available |
| Full Name | Carebridge Medteam, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 515 N 3rd St, Longview, Texas |
| Authorized Official Name and Position | Thomas Mcmahon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9032153149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carebridge Medteam, Llc 515 N 3rd St Longview TX 75601-6546 Ph: (903) 475-3474 | Carebridge Medteam, Llc 515 N 3rd St Longview TX 75601-6546 Ph: (903) 475-3474 |
| NPI Number | 1013741420 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 03/19/2025 |
| Medicare PECOS PAC ID | 0547795031 |
|---|---|
| Medicare Enrollment ID | O20241120002889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013741420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Diana Lynn Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982055091 PECOS PAC ID: 3375825169 Enrollment ID: I20170201000429 |
| Provider Name | Elizabeth A Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285134163 PECOS PAC ID: 2062773930 Enrollment ID: I20180312000569 |
| Provider Name | Jacquelyn B Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134600919 PECOS PAC ID: 6204180854 Enrollment ID: I20181116001929 |
| Provider Name | Tiffany Tyeskie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437803715 PECOS PAC ID: 4880089184 Enrollment ID: I20220324000041 |
| Provider Name | Emily Groce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629708946 PECOS PAC ID: 6305227687 Enrollment ID: I20220718002574 |
| Provider Name | April Luquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245921659 PECOS PAC ID: 1355786732 Enrollment ID: I20240226000082 |
| Provider Name | Holly Kristina Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063259992 PECOS PAC ID: 0042750945 Enrollment ID: I20240906000081 |
Longview Wellness Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-758-2610 Fax: 903-758-3124 | |
Special Health Resources For Texas, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 N 6th St, Longview, TX 75601 Phone: 903-501-1747 Fax: 903-758-2283 | |
Family Focus Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101b Woodbine Pl, Longview, TX 75601 Phone: 903-236-6222 Fax: 903-236-0808 | |
Whole Counseling, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 N Fredonia St Ste 114, Longview, TX 75601 Phone: 720-404-5682 | |
Longview Wellness Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 W Fairmont St, Longview, TX 75604 Phone: 903-758-2610 Fax: 903-758-7081 | |
Longview Wellness Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 N Fredonia St, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 |