Fredericksburg Clinic, Pllc - Medicare Primary Care in Fredericksburg, TX

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Fredericksburg Clinic, Pllc is a medicare enrolled primary clinic (Family Medicine) in Fredericksburg, Texas. The current practice location for Fredericksburg Clinic, Pllc is 1308 South Highway 16, Fredericksburg, Texas. For appointments, you can reach them via phone at (830) 997-2181. The mailing address for Fredericksburg Clinic, Pllc is 1308 South Highway 16, Fredericksburg, Texas and phone number is (830) 997-2181.

Fredericksburg Clinic, Pllc is licensed to practice in Texas (license number ). The clinic also participates in the medicare program and its NPI number is 1033145545. 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 (830) 997-2181.

Contact Information

Fredericksburg Clinic, Pllc
1308 South Highway 16
Fredericksburg
TX 78624-5058
(830) 997-2181
(830) 997-9598

Map and Direction


Primary Care Clinic Profile

Full NameFredericksburg Clinic, Pllc
SpecialityFamily Medicine
Location1308 South Highway 16, Fredericksburg, Texas
Authorized Official Name and PositionJohn Radcliffe Kothmann (AUTHORIZED OFFICIAL)
Authorized Official Contact8309972181
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fredericksburg Clinic, Pllc
1308 South Highway 16
Fredericksburg
TX 78624-5058

Ph: (830) 997-2181		Fredericksburg Clinic, Pllc
1308 South Highway 16
Fredericksburg
TX 78624-5058

Ph: (830) 997-2181

NPI Details:

NPI Number1033145545
Provider Enumeration Date06/25/2006
Last Update Date11/20/2017

Medicare PECOS Information:

Medicare PECOS PAC ID3375515992
Medicare Enrollment IDO20040812000578

Medical Identifiers

Medical identifiers for Fredericksburg Clinic, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033145545NPI-NPPES
084372401MedicaidTX
082891502MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (Texas)Secondary
207Q00000XFamily Medicine (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. Fredericksburg Clinic, Pllc acts as a billing entity for following providers:
Provider NameJohn R Kothmann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780624502
PECOS PAC ID: 4385616903
Enrollment ID: I20040812000650
Provider NameJennifer Kate Mayben
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194746685
PECOS PAC ID: 7113986035
Enrollment ID: I20041006001259
Provider NameMichael M Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386653236
PECOS PAC ID: 0345285227
Enrollment ID: I20050621001247
Provider NamePhilip J Maple
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386688810
PECOS PAC ID: 5597772376
Enrollment ID: I20060320000567
Provider NameJeffrey R Holt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700090826
PECOS PAC ID: 7911091160
Enrollment ID: I20070918000701
Provider NameRebecca Daley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356348288
PECOS PAC ID: 6305903527
Enrollment ID: I20090316000195
Provider NameEmily J Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033366109
PECOS PAC ID: 0840343166
Enrollment ID: I20090804000876
Provider NameLeo C Tynan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811937303
PECOS PAC ID: 4183767965
Enrollment ID: I20100202000207
Provider NameLisa M Kott-harrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689057010
PECOS PAC ID: 4688973548
Enrollment ID: I20160427000431
Provider NameElliana Wiesner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699156273
PECOS PAC ID: 1355631706
Enrollment ID: I20180620001050
Provider NameMaggie Klein Gainer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477901346
PECOS PAC ID: 8820381130
Enrollment ID: I20190930003055
Provider NameAaron Dale Saul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184203002
PECOS PAC ID: 8224437272
Enrollment ID: I20210525002204

Reviews and Comments


Family Medicine in Fredericksburg, TX

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Medicare: Not Enrolled in Medicare
Practice Location: 205 West Windcrest, Suite 340, Fredericksburg, TX 78624
Phone: 830-997-1010    Fax: 830-997-1076
Mark D Eden Md Pa
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Medicare: Medicare Enrolled
Practice Location: 820 Reuben St Ste B, Fredericksburg, TX 78624
Phone: 830-997-9497    Fax: 830-997-5677
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Medicare: Not Enrolled in Medicare
Practice Location: 205 W Windcrest St, Suite 250, Fredericksburg, TX 78624
Phone: 830-997-6000    Fax: 830-997-6040
Mid-texas Health Care Assn., P.a.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1305 N Milam St, Fredericksburg, TX 78624
Phone: 830-997-7626    Fax: 830-997-2641
Fredericksburg Family Clinic Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 514 W Windcrest St, Fredericksburg, TX 78624
Phone: 830-997-0330    
Md Integrative Health Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1308 S State Highway 16, Fredericksburg, TX 78624
Phone: 830-997-2181    Fax: 830-997-4453

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.