| Impact Care Physicians TX PLLC | |
|
250 Skillman St Ste 202 Brooklyn NY 11205-1218 | |
| (212) 734-6621 | |
| Not Available |
| Full Name | Impact Care Physicians TX PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Skillman St Ste 202, Brooklyn, New York |
| Authorized Official Name and Position | Eli Wercberger (OFFICER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Care Physicians TX PLLC 250 Skillman St Ste 202 Brooklyn NY 11205-1218 | Impact Care Physicians TX PLLC 250 Skillman St Ste 202 Brooklyn NY 11205-1218 Ph: (212) 734-6621 |
| NPI Number | 1164378477 |
|---|---|
| Provider Enumeration Date | 03/09/2026 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Medicare PECOS PAC ID | 1254801012 |
|---|---|
| Medicare Enrollment ID | O20260522000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164378477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Min Gao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134155005 PECOS PAC ID: 7214084359 Enrollment ID: I20090407000530 |
| Provider Name | Arif Mahmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487940953 PECOS PAC ID: 9537384318 Enrollment ID: I20140711000428 |
| Provider Name | Mandy L Helberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689211880 PECOS PAC ID: 4981039880 Enrollment ID: I20200123001540 |
| Provider Name | Shanda Ladawn Neve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972260263 PECOS PAC ID: 5597155457 Enrollment ID: I20211208001150 |
| Provider Name | Amy Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205579539 PECOS PAC ID: 7618403890 Enrollment ID: I20260402001134 |
| Provider Name | Eli Wercberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023679974 PECOS PAC ID: 0446616494 Enrollment ID: I20260522000017 |
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