| Infusecare | |
|
3501 S Soncy Rd Ste 124 Amarillo TX 79119-6406 | |
| (806) 358-8625 | |
| Not Available |
| Full Name | Infusecare |
|---|---|
| Speciality | Clinic/Center |
| Location | 3501 S Soncy Rd Ste 124, Amarillo, Texas |
| Authorized Official Name and Position | Richard J Hunt (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8063416092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infusecare 3501 S Soncy Rd Ste 124 Amarillo TX 79119-6406 Ph: (806) 358-8625 | Infusecare 3501 S Soncy Rd Ste 124 Amarillo TX 79119-6406 Ph: (806) 358-8625 |
| NPI Number | 1952020083 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 09/02/2022 |
| Certification Date | 09/02/2022 |
| Medicare PECOS PAC ID | 7911373279 |
|---|---|
| Medicare Enrollment ID | O20221012001509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952020083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| 207P00000X | Emergency Medicine | () | Secondary |
| Provider Name | Julie K Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083019962 PECOS PAC ID: 5193047637 Enrollment ID: I20141211000859 |
| Provider Name | Frederick Poage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720407125 PECOS PAC ID: 5395054662 Enrollment ID: I20151028000163 |
| Provider Name | Kaitlyn M Wynne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710534607 PECOS PAC ID: 0840521555 Enrollment ID: I20191010002339 |
| Provider Name | Robin Birch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144822453 PECOS PAC ID: 4981015625 Enrollment ID: I20201201001623 |
| Provider Name | Michelle L Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144821034 PECOS PAC ID: 2264844117 Enrollment ID: I20201217000239 |
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