Corridor Primary Care, Pa - Medicare Primary Care in San Marcos, TX

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Corridor Primary Care, Pa is a medicare enrolled primary clinic (Pediatrics) in San Marcos, Texas. The current practice location for Corridor Primary Care, Pa is 1320 Wonder World Dr Ste 101, San Marcos, Texas. For appointments, you can reach them via phone at (512) 392-1700. The mailing address for Corridor Primary Care, Pa is 1320 Wonder World Dr Ste 101, San Marcos, Texas and phone number is (512) 392-1700.

Corridor Primary Care, Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124050836. 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 (512) 392-1700.

Contact Information

Corridor Primary Care, Pa
1320 Wonder World Dr Ste 101
San Marcos
TX 78666-7558
(512) 392-1700
(512) 396-8743

Map and Direction


Primary Care Clinic Profile

Full NameCorridor Primary Care, Pa
SpecialityPediatrics
Location1320 Wonder World Dr Ste 101, San Marcos, Texas
Authorized Official Name and PositionMichelle M Bludworth (OFFICE MANAGER)
Authorized Official Contact5123921700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Corridor Primary Care, Pa
1320 Wonder World Dr Ste 101
San Marcos
TX 78666-7558

Ph: (512) 392-1700		Corridor Primary Care, Pa
1320 Wonder World Dr Ste 101
San Marcos
TX 78666-7558

Ph: (512) 392-1700

NPI Details:

NPI Number1124050836
Provider Enumeration Date07/06/2006
Last Update Date12/10/2007

Medicare PECOS Information:

Medicare PECOS PAC ID4183669070
Medicare Enrollment IDO20050621001307

Medical Identifiers

Medical identifiers for Corridor Primary Care, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124050836NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (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. Corridor Primary Care, Pa acts as a billing entity for following providers:
Provider NameAngela P Black
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972671733
PECOS PAC ID: 5395799241
Enrollment ID: I20050303000754
Provider NameSue A Harrison
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558392399
PECOS PAC ID: 9739124629
Enrollment ID: I20050621001301
Provider NameMichael J Grady
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376574111
PECOS PAC ID: 3072558964
Enrollment ID: I20050621001320
Provider NameJeanne E Flinn
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629009469
PECOS PAC ID: 3870539133
Enrollment ID: I20050708000201
Provider NameJill S Humphrey
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790874402
PECOS PAC ID: 3173625852
Enrollment ID: I20070227000322
Provider NameMichelle E Miller
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1346395217
PECOS PAC ID: 8224107933
Enrollment ID: I20080521000518
Provider NameRebecca Shively
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508920935
PECOS PAC ID: 4587721568
Enrollment ID: I20090318000318
Provider NameLarry D Beville
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770897498
PECOS PAC ID: 2668642919
Enrollment ID: I20110824000781
Provider NameNoelle Susanne Williams
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902190663
PECOS PAC ID: 3577782499
Enrollment ID: I20140908002238
Provider NameJulie Michele Fisher
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1275892887
PECOS PAC ID: 9638484694
Enrollment ID: I20150819009066
Provider NameNicole Hannemann
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407117146
PECOS PAC ID: 4082923701
Enrollment ID: I20151021000088
Provider NameMeghan Elissa Dupre
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114269214
PECOS PAC ID: 2769777978
Enrollment ID: I20160827000021

Reviews and Comments


Pediatrics in San Marcos, TX

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Practice Location: 298 Student Center Drive, San Marcos, TX 78666
Phone: 512-245-2161    Fax: 512-245-3918
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Phone: 512-393-3325    Fax: 512-393-3328
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Phone: 512-969-8991    Fax: 512-982-6186
My Primary Care Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1346 Thorpe Ln, San Marcos, TX 78666
Phone: 512-392-7800    
Central Texas Medical Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2005 Medical Pkwy, Suite C, San Marcos, TX 78666
Phone: 512-396-3911    Fax: 512-353-0807
Live Oak Health Partners
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666
Phone: 512-353-6400    Fax: 512-353-3039

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.