| Fmc Ltc Aco LLC | |
|
2501 Lakeview Dr Amarillo TX 79109-1531 | |
| (806) 355-8900 | |
| (806) 355-2453 |
| Full Name | Fmc Ltc Aco LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2501 Lakeview Dr, Amarillo, Texas |
| Authorized Official Name and Position | Stefanie Feemster (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 8063507325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmc Ltc Aco LLC 2501 Lakeview Dr Amarillo TX 79109-1531 Ph: (806) 355-8900 | Fmc Ltc Aco LLC 2501 Lakeview Dr Amarillo TX 79109-1531 Ph: (806) 355-8900 |
| NPI Number | 1942048053 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Medicare PECOS PAC ID | 3678013729 |
|---|---|
| Medicare Enrollment ID | O20240904003149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942048053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | () | Secondary |
| Provider Name | Harry M Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306845854 PECOS PAC ID: 7315849437 Enrollment ID: I20040121000223 |
| Provider Name | John P Dzik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659339950 PECOS PAC ID: 2668445131 Enrollment ID: I20040816001248 |
| Provider Name | William a Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093759862 PECOS PAC ID: 3678573722 Enrollment ID: I20070113000075 |
| Provider Name | Ron K Rankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861405250 PECOS PAC ID: 4082640602 Enrollment ID: I20080609000456 |
| Provider Name | Kelly M Rueda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902131592 PECOS PAC ID: 3072650852 Enrollment ID: I20091027000825 |
| Provider Name | Autumn a Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699075960 PECOS PAC ID: 5496936544 Enrollment ID: I20110222000835 |
| Provider Name | Kendall D Wines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366729311 PECOS PAC ID: 0840450052 Enrollment ID: I20120326000756 |
| Provider Name | Jennifer a Sepeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083080485 PECOS PAC ID: 5597073387 Enrollment ID: I20150928002129 |
| Provider Name | Cherity Gwen Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578921102 PECOS PAC ID: 7618275389 Enrollment ID: I20160413000308 |
| Provider Name | Sumer Al-alusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376986190 PECOS PAC ID: 1951600048 Enrollment ID: I20160809000880 |
| Provider Name | Mary Benard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962861864 PECOS PAC ID: 4789970724 Enrollment ID: I20160831000875 |
| Provider Name | Belynda F Yarber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477090702 PECOS PAC ID: 6305122763 Enrollment ID: I20170628001145 |
| Provider Name | Megan Marie Wait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003309998 PECOS PAC ID: 8426305988 Enrollment ID: I20180716002497 |
| Provider Name | Jessica Diann Brittain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760040349 PECOS PAC ID: 5395072789 Enrollment ID: I20190807003602 |
| Provider Name | Emily Anne Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912394222 PECOS PAC ID: 1052641446 Enrollment ID: I20190927001449 |
| Provider Name | Shanna Saul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972063147 PECOS PAC ID: 2961837117 Enrollment ID: I20200115002316 |
| Provider Name | Brittani Renee Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942952379 PECOS PAC ID: 9739574351 Enrollment ID: I20220317002510 |
| Provider Name | Donna Jeannette Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083229629 PECOS PAC ID: 8325424484 Enrollment ID: I20220928000213 |
| Provider Name | Ladeivia Cherae Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295437796 PECOS PAC ID: 6103283403 Enrollment ID: I20230531003747 |
| Provider Name | Genkai Jason Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053949362 PECOS PAC ID: 8820411176 Enrollment ID: I20230803001283 |
| Provider Name | Dana Cobb-gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447930425 PECOS PAC ID: 1456713882 Enrollment ID: I20230816002142 |
| Provider Name | Cailey Britt Sirmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265135628 PECOS PAC ID: 6002262425 Enrollment ID: I20231020002490 |
| Provider Name | Jasmyne a Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427830959 PECOS PAC ID: 3779930714 Enrollment ID: I20231113001369 |
| Provider Name | Amber Dawn Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518471234 PECOS PAC ID: 3971097924 Enrollment ID: I20251209000130 |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 |
Beautiful You Aesthetics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 S Coulter St Ste 200, Amarillo, TX 79119 Phone: 806-672-9929 Fax: 806-553-1531 |
Regence Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3113 Ross St, Amarillo, TX 79103 Phone: 806-374-7341 Fax: 806-322-0533 |
Fmc Medical Foundation, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Coulter St Ste 1, Amarillo, TX 79106 Phone: 806-354-0404 Fax: 806-354-2810 |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 |
Fmc Coulter & 34th Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121 Phone: 806-350-8850 Fax: 806-350-8855 |