Legacy Physiatry Group LLC - Medicare Primary Care in Plano, TX

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Legacy Physiatry Group LLC is a medicare enrolled primary clinic (Physical Medicine & Rehabilitation) in Plano, Texas. The current practice location for Legacy Physiatry Group LLC is 850 Central Pkwy E Ste 275, Plano, Texas. For appointments, you can reach them via phone at (972) 881-4688. The mailing address for Legacy Physiatry Group LLC is 850 Central Pkwy E, Suite 275, Plano, Texas and phone number is (972) 881-4688.

Legacy Physiatry Group LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1316078769. 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 (972) 881-4688.

Contact Information

Legacy Physiatry Group LLC
850 Central Pkwy E Ste 275
Plano
TX 75074-5542
(972) 881-4688
(972) 668-5401

Map and Direction


Primary Care Clinic Profile

Full NameLegacy Physiatry Group LLC
SpecialityPhysical Medicine & Rehabilitation
Location850 Central Pkwy E Ste 275, Plano, Texas
Authorized Official Name and PositionVenkatesh Lakshman (OWNER/PRESIDENT)
Authorized Official Contact9728814688
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Physiatry Group LLC
850 Central Pkwy E
Suite 275
Plano
TX 75074

Ph: (972) 881-4688		Legacy Physiatry Group LLC
850 Central Pkwy E Ste 275
Plano
TX 75074-5542

Ph: (972) 881-4688

NPI Details:

NPI Number1316078769
Provider Enumeration Date03/08/2007
Last Update Date10/05/2017

Medicare PECOS Information:

Medicare PECOS PAC ID1759353519
Medicare Enrollment IDO20070907000584

Medical Identifiers

Medical identifiers for Legacy Physiatry Group LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316078769NPI-NPPES
203548702MedicaidTX
203548701MedicaidTX
D07564OtherTXRAILROAD MEDICARE PALMETTO GBA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Secondary
208100000XPhysical Medicine & Rehabilitation ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Physiatry Group LLC acts as a billing entity for following providers:
Provider NameKenneth J Buley
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1497714026
PECOS PAC ID: 8628967197
Enrollment ID: I20040312000528
Provider NameThomas C Vinson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1407843287
PECOS PAC ID: 6406748185
Enrollment ID: I20040326001237
Provider NameAndrea R Mcguire
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1053592535
PECOS PAC ID: 9739079609
Enrollment ID: I20040430000571
Provider NameMelissa C. Lockhart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376620096
PECOS PAC ID: 6002804481
Enrollment ID: I20040504001067
Provider NameIngrid C Hinojosa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851399240
PECOS PAC ID: 8325021934
Enrollment ID: I20040612000188
Provider NameAparna Mukkamala
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1770552416
PECOS PAC ID: 8426028382
Enrollment ID: I20040728000732
Provider NameSusan Diane Ryan
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1003961152
PECOS PAC ID: 8729030994
Enrollment ID: I20050216000082
Provider NamePedro T Zevallos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891729091
PECOS PAC ID: 6901882075
Enrollment ID: I20050223000911
Provider NameDon West
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1912091208
PECOS PAC ID: 3678521184
Enrollment ID: I20051005000307
Provider NameVictor Madrigal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629295480
PECOS PAC ID: 2163438912
Enrollment ID: I20060302000478
Provider NameDorothy D Goddard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669562724
PECOS PAC ID: 2769589472
Enrollment ID: I20070515000057
Provider NameJennifer J Schmoker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205819612
PECOS PAC ID: 4981778479
Enrollment ID: I20080731000658
Provider NameLolita T Bruce
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1396929311
PECOS PAC ID: 8820156680
Enrollment ID: I20081022000616
Provider NameShalini Katikaneni
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326221649
PECOS PAC ID: 6608938840
Enrollment ID: I20081222000345
Provider NamePaul H Payberah
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1689819476
PECOS PAC ID: 4486718079
Enrollment ID: I20090127000090
Provider NameFonshay Latrice Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588814263
PECOS PAC ID: 0840354833
Enrollment ID: I20090206000188
Provider NameBobbie J Simlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922296003
PECOS PAC ID: 2264598507
Enrollment ID: I20090311000455
Provider NameAlicia J Nash
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1578718102
PECOS PAC ID: 3577611532
Enrollment ID: I20090430000248
Provider NameMohamed H Youssef
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1033446687
PECOS PAC ID: 6305987041
Enrollment ID: I20100104000345
Provider NameRebecca S Schmidt
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1538114087
PECOS PAC ID: 1153514989
Enrollment ID: I20101025000629
Provider NameFiona Ma Wycoff
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1407187032
PECOS PAC ID: 8325233745
Enrollment ID: I20101111000428
Provider NameDusty R Wilkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396045506
PECOS PAC ID: 4486837044
Enrollment ID: I20110321000403
Provider NameEric Isaac Ray
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1598965428
PECOS PAC ID: 2365625191
Enrollment ID: I20110331000483
Provider NameBrenda Payne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285930354
PECOS PAC ID: 5395929343
Enrollment ID: I20110415000212
Provider NameJacqueline Mosley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215233242
PECOS PAC ID: 3577747559
Enrollment ID: I20110415000595
Provider NameVictor H Flores
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1760454565
PECOS PAC ID: 3678579901
Enrollment ID: I20110705000251
Provider NameRoya Yazdani
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1932483062
PECOS PAC ID: 3375718067
Enrollment ID: I20111207000762
Provider NameNick C Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861491847
PECOS PAC ID: 4284652389
Enrollment ID: I20120524000669
Provider NameCristina L Winters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942527056
PECOS PAC ID: 3274797550
Enrollment ID: I20120627000631
Provider NamePasquinel G Glenn
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1912925603
PECOS PAC ID: 9436148509
Enrollment ID: I20120724000321
Provider NameVeronica Cardenas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689957599
PECOS PAC ID: 8426214792
Enrollment ID: I20120801000225
Provider NameDavida Jennings
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1902163330
PECOS PAC ID: 0345494811
Enrollment ID: I20130208000415
Provider NameEunice Orji
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811248891
PECOS PAC ID: 6406001106
Enrollment ID: I20130312000038
Provider NameKelli Fatheree
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1225061435
PECOS PAC ID: 5294759882
Enrollment ID: I20130530000604
Provider NameRobyn Nicole Cogburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083954796
PECOS PAC ID: 1254472087
Enrollment ID: I20130607000272
Provider NamePeace Uwaeme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558612325
PECOS PAC ID: 1254567704
Enrollment ID: I20140109000153
Provider NameElizabeth a Seegers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689000887
PECOS PAC ID: 8325271448
Enrollment ID: I20140425000674
Provider NameJennifer Ann Harwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649685462
PECOS PAC ID: 2163644964
Enrollment ID: I20141111002027
Provider NameAndrew M De La Vega
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1912245184
PECOS PAC ID: 4789824384
Enrollment ID: I20141118000523
Provider NameDeanna Kaye Ridings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336540293
PECOS PAC ID: 9032431317
Enrollment ID: I20141124001762
Provider NameJilji Payikkattu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275950453
PECOS PAC ID: 5092039594
Enrollment ID: I20150109000701
Provider NameKathleen Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316256746
PECOS PAC ID: 0446576391
Enrollment ID: I20150311002355
Provider NameToyin Kehinde Aliu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497145965
PECOS PAC ID: 2668784018
Enrollment ID: I20150629000488
Provider NameVijayakala Mani
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1295988640
PECOS PAC ID: 7719179928
Enrollment ID: I20150819008161
Provider NameDiane K Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447627187
PECOS PAC ID: 6800196536
Enrollment ID: I20151201002261
Provider NameCorrie V. St. Pierre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881090173
PECOS PAC ID: 0244532059
Enrollment ID: I20160112000352
Provider NameGwendoline K Mbaku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447624853
PECOS PAC ID: 0345544037
Enrollment ID: I20160201000036
Provider NameNeena Papneja
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104170349
PECOS PAC ID: 0749592855
Enrollment ID: I20160216001041
Provider NameStella Apari
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023476934
PECOS PAC ID: 7113078809
Enrollment ID: I20160316001787
Provider NameHilliary Spivey
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1235530098
PECOS PAC ID: 6002105186
Enrollment ID: I20160512001059
Provider NameLamese Ann Sabri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730575374
PECOS PAC ID: 8820318165
Enrollment ID: I20160706001793
Provider NameAjai Sambasivan
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1992090955
PECOS PAC ID: 9133414378
Enrollment ID: I20160826000472
Provider NameUju Anyanwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720531130
PECOS PAC ID: 3375831837
Enrollment ID: I20161017000475
Provider NameMartha Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083716450
PECOS PAC ID: 5092882159
Enrollment ID: I20161115000086
Provider NameMaureen Evelyn Joyner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265980247
PECOS PAC ID: 7810277399
Enrollment ID: I20161130000828
Provider NameMonica Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184077091
PECOS PAC ID: 1052691276
Enrollment ID: I20161206000488
Provider NameTeshekia Hawkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538618624
PECOS PAC ID: 1254612757
Enrollment ID: I20161221000231
Provider NameJaschica Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740738681
PECOS PAC ID: 7618256488
Enrollment ID: I20170103000516
Provider NameShannon L Perryman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104299155
PECOS PAC ID: 8426355751
Enrollment ID: I20170403001098
Provider NameJosephine Mandeya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609226505
PECOS PAC ID: 7113205089
Enrollment ID: I20170525000128
Provider NameChristina Paruthi
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1598070799
PECOS PAC ID: 1153699988
Enrollment ID: I20170619002396
Provider NameTinuola Oyeku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861937146
PECOS PAC ID: 1355611419
Enrollment ID: I20170721001801
Provider NamePrisca Ughanze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427400571
PECOS PAC ID: 6901178573
Enrollment ID: I20170816002366
Provider NameCarlos a Jaramillo
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1982863056
PECOS PAC ID: 9739313347
Enrollment ID: I20170922002668
Provider NameShantell K Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710499686
PECOS PAC ID: 4284992926
Enrollment ID: I20171229000715
Provider NameBetsy Koovakada
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689002628
PECOS PAC ID: 6103185889
Enrollment ID: I20180126000417
Provider NameCristal N Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730571357
PECOS PAC ID: 3577823863
Enrollment ID: I20180206000784
Provider NameUgochi Odinmah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326574195
PECOS PAC ID: 9133480775
Enrollment ID: I20180222002762
Provider NameAshley Hunt Falkner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356781538
PECOS PAC ID: 8123259892
Enrollment ID: I20180420001930
Provider NameMark Bauernfeind
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1467870436
PECOS PAC ID: 4587958947
Enrollment ID: I20180604000966
Provider NameRedemptor K Omariba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831677616
PECOS PAC ID: 7214271204
Enrollment ID: I20181203000421
Provider NameStefanie Laue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811460330
PECOS PAC ID: 0143569988
Enrollment ID: I20190222000777
Provider NameNasser S Ayyad
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1992123947
PECOS PAC ID: 6507197019
Enrollment ID: I20191015002026
Provider NameSeema R Sebastian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497286199
PECOS PAC ID: 3971877309
Enrollment ID: I20191210002803
Provider NameVincent Pierce Torrefranca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033745153
PECOS PAC ID: 9234568973
Enrollment ID: I20200401001973
Provider NameSamuel Mboya Ouya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427677913
PECOS PAC ID: 7719317338
Enrollment ID: I20200423000386
Provider NameJohn David Arcure
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1770713711
PECOS PAC ID: 1557510088
Enrollment ID: I20200504001422
Provider NameCrystal Poungsangchaun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043859424
PECOS PAC ID: 7113358987
Enrollment ID: I20200511002830
Provider NameMara Cruz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235763434
PECOS PAC ID: 4385075712
Enrollment ID: I20200519000562
Provider NameAnthony Okechukwu Ezemba
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1336546084
PECOS PAC ID: 3274882774
Enrollment ID: I20210716002746
Provider NameRebecca H Odidi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790328664
PECOS PAC ID: 8224422159
Enrollment ID: I20220218001121
Provider NameMelissa Godfrey Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467060889
PECOS PAC ID: 8820483514
Enrollment ID: I20220316000182
Provider NameNehalben Sachin Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720687064
PECOS PAC ID: 9739567264
Enrollment ID: I20220611000091
Provider NameAngela Shurtleff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518495472
PECOS PAC ID: 6901165539
Enrollment ID: I20220701001904
Provider NameMichelle Mabbitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083284541
PECOS PAC ID: 2860875788
Enrollment ID: I20220810001232
Provider NameSeth M Probert
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1326500851
PECOS PAC ID: 0244609873
Enrollment ID: I20221202002987
Provider NameDonna M Echols
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770293185
PECOS PAC ID: 3375912173
Enrollment ID: I20221219001420
Provider NameKaren K Murray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144672478
PECOS PAC ID: 3375821085
Enrollment ID: I20230119003178
Provider NameCarla Dennise Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164122149
PECOS PAC ID: 2062877483
Enrollment ID: I20230508000967
Provider NameAaron Prado
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1922568815
PECOS PAC ID: 6507191715
Enrollment ID: I20230515001014
Provider NameJoseph Owens
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1003494436
PECOS PAC ID: 4385053875
Enrollment ID: I20230519001900
Provider NameAdelwisa Ave
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891336020
PECOS PAC ID: 8729418223
Enrollment ID: I20240212004142
Provider NameOmotomike Kuku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467802249
PECOS PAC ID: 1557658796
Enrollment ID: I20240314002027
Provider NameArfan Qureshi
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1750816831
PECOS PAC ID: 0648549824
Enrollment ID: I20240403003819
Provider NameFrancis Joseph Cruz Deasis
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1942837455
PECOS PAC ID: 1052781820
Enrollment ID: I20240522004153
Provider NameBrandon Fletcher
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1679153530
PECOS PAC ID: 8426593138
Enrollment ID: I20240717001591
Provider NameJessica Bulan Slavin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457101891
PECOS PAC ID: 9234675109
Enrollment ID: I20240726003861
Provider NameLakia Drewery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326897711
PECOS PAC ID: 7911444856
Enrollment ID: I20240808003652
Provider NameFunmilayo Akinjagunla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609422567
PECOS PAC ID: 8820519606
Enrollment ID: I20250310001567
Provider NameRobyn Denese Walton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154132686
PECOS PAC ID: 6002338423
Enrollment ID: I20250314001685
Provider NameFunke Florence Osaremwinda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952177396
PECOS PAC ID: 5496278921
Enrollment ID: I20250325004060
Provider NameSusan Nguy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164242319
PECOS PAC ID: 6901325471
Enrollment ID: I20250528001879
Provider NameSheila Appiadjei
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831661487
PECOS PAC ID: 3779953120
Enrollment ID: I20250923003114
Provider NameElizabeth Bello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093293755
PECOS PAC ID: 7416441886
Enrollment ID: I20251212001100
Provider NameAustin Majeed Shokraeifard
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1770288052
PECOS PAC ID: 5799262671
Enrollment ID: I20260122001340
Provider NameMinh Doan
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1649920786
PECOS PAC ID: 7517331184
Enrollment ID: I20260413000464

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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.