Pai Participant 9 Pa - Medicare Primary Care in Elgin, TX

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Pai Participant 9 Pa is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Elgin, Texas. The current practice location for Pai Participant 9 Pa is 1373 N Avenue C, Elgin, Texas. For appointments, you can reach them via phone at (512) 285-2457. The mailing address for Pai Participant 9 Pa is Po Box 639676, Cincinnati, Ohio and phone number is (859) 291-4800.

Pai Participant 9 Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679135420. 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 (512) 285-2457.

Contact Information

Pai Participant 9 Pa
1373 N Avenue C
Elgin
TX 78621-1528
(512) 285-2457
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePai Participant 9 Pa
SpecialityInternal Medicine
Location1373 N Avenue C, Elgin, Texas
Authorized Official Name and PositionJill Ford (SR MNGR IN CRED/AUTHORIZED OFFICIAL)
Authorized Official Contact4846432639
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pai Participant 9 Pa
Po Box 639676
Cincinnati
OH 45263-9676

Ph: (859) 291-4800		Pai Participant 9 Pa
1373 N Avenue C
Elgin
TX 78621-1528

Ph: (512) 285-2457

NPI Details:

NPI Number1679135420
Provider Enumeration Date07/02/2019
Last Update Date12/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7113254277
Medicare Enrollment IDO20190812003650

Medical Identifiers

Medical identifiers for Pai Participant 9 Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679135420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pai Participant 9 Pa acts as a billing entity for following providers:
Provider NameDaniel Y Levesque
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033125307
PECOS PAC ID: 4082659552
Enrollment ID: I20050624000433
Provider NameZahir A Momin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073529327
PECOS PAC ID: 5294750576
Enrollment ID: I20051006000511
Provider NameSuma S Gowda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174558605
PECOS PAC ID: 7517051600
Enrollment ID: I20070920000173
Provider NameRon K Rankin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861405250
PECOS PAC ID: 4082640602
Enrollment ID: I20080609000456
Provider NameDavid Dmitry Boltan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447468624
PECOS PAC ID: 5698846194
Enrollment ID: I20080611000057
Provider NamePhilip C Jackson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306852678
PECOS PAC ID: 7810068699
Enrollment ID: I20080623000227
Provider NameMary Z Blackburn
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1699930628
PECOS PAC ID: 0446327233
Enrollment ID: I20080919000436
Provider NameRicardo Cruz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164438446
PECOS PAC ID: 5092883272
Enrollment ID: I20081002000035
Provider NameLindsay Boltan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538379433
PECOS PAC ID: 1254480577
Enrollment ID: I20090515000501
Provider NameLaurie A Ferraro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720310436
PECOS PAC ID: 8921136219
Enrollment ID: I20100506000610
Provider NameJason L Martin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447441639
PECOS PAC ID: 2163616947
Enrollment ID: I20101105000526
Provider NameMauricio A Sardan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902005523
PECOS PAC ID: 9931271509
Enrollment ID: I20101115000375
Provider NameJeremy L Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144557679
PECOS PAC ID: 2769656628
Enrollment ID: I20111111000114
Provider NameNabanita Basu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417118522
PECOS PAC ID: 6103090816
Enrollment ID: I20111115000389
Provider NameNeelima Gowrigari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205097318
PECOS PAC ID: 8527224757
Enrollment ID: I20120716000493
Provider NameAneesh George
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104051382
PECOS PAC ID: 9436305091
Enrollment ID: I20120814000425
Provider NameKrystle F Garrett Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457669210
PECOS PAC ID: 5496901977
Enrollment ID: I20120816000346
Provider NameRaeeda M Gheewala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851507115
PECOS PAC ID: 8022275346
Enrollment ID: I20120906000430
Provider NameLaura Martinez-colon
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1164869285
PECOS PAC ID: 5496995607
Enrollment ID: I20130711000819
Provider NamePhillip E Silva
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1932424769
PECOS PAC ID: 6002047180
Enrollment ID: I20140403000476
Provider NameMichael Joseph Gutierrez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174810048
PECOS PAC ID: 4688892276
Enrollment ID: I20140822001670
Provider NameScott W Tolan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1821313610
PECOS PAC ID: 3678890449
Enrollment ID: I20150317000528
Provider NameKhris Randy Ramdeen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861652471
PECOS PAC ID: 2668628793
Enrollment ID: I20150604000079
Provider NamePrasanthi K Arety
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528333713
PECOS PAC ID: 3274845938
Enrollment ID: I20150709000066
Provider NameLaura Moerbe Brynestad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649510785
PECOS PAC ID: 0244478212
Enrollment ID: I20150731015195
Provider NameSamira Shahnaz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134495575
PECOS PAC ID: 9830407097
Enrollment ID: I20151007003142
Provider NameSherri Cook-rousey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295107142
PECOS PAC ID: 6608177969
Enrollment ID: I20151211000037
Provider NameJess Siby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215302450
PECOS PAC ID: 9830491372
Enrollment ID: I20151230001136
Provider NameChristine Koestel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891152948
PECOS PAC ID: 1557667250
Enrollment ID: I20160307000882
Provider NameBerril Joseph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649726563
PECOS PAC ID: 0941588859
Enrollment ID: I20161027002011
Provider NameAnu Antony
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780132886
PECOS PAC ID: 2769760990
Enrollment ID: I20161111001328
Provider NameMangesh Bhatta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588921597
PECOS PAC ID: 8325351463
Enrollment ID: I20170208002451
Provider NameAlbert Arthur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720499668
PECOS PAC ID: 1254655897
Enrollment ID: I20171019001021
Provider NameAmita Aghera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518460930
PECOS PAC ID: 9931456910
Enrollment ID: I20180723000289
Provider NameCarolyn Diane Crispell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306069265
PECOS PAC ID: 0941394894
Enrollment ID: I20180904001524
Provider NameMarica Baricuatro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689156812
PECOS PAC ID: 3476807686
Enrollment ID: I20181106002913
Provider NameEdith P Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205374279
PECOS PAC ID: 3274870720
Enrollment ID: I20190123000386
Provider NameBrenda Michelle Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992274849
PECOS PAC ID: 1254673577
Enrollment ID: I20190506002545
Provider NameJessica Diann Brittain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760040349
PECOS PAC ID: 5395072789
Enrollment ID: I20190807003602
Provider NameZarintaj M Ali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760024038
PECOS PAC ID: 4385078583
Enrollment ID: I20191220002185
Provider NameSoumya Mohanan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255971214
PECOS PAC ID: 6406283233
Enrollment ID: I20200217003418
Provider NameLoveleen M Swami
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255973558
PECOS PAC ID: 6103253638
Enrollment ID: I20200224001033
Provider NameJason Woo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962744573
PECOS PAC ID: 4082855440
Enrollment ID: I20200415000153
Provider NameStella Marquardt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083256416
PECOS PAC ID: 8022449347
Enrollment ID: I20200520001871
Provider NameMichael Park
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043659956
PECOS PAC ID: 3274828173
Enrollment ID: I20201207000134
Provider NameLindsey Karka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174133268
PECOS PAC ID: 5597172361
Enrollment ID: I20210323000005
Provider NameKellie Soria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801496328
PECOS PAC ID: 7810305844
Enrollment ID: I20210412002695
Provider NameKatherine Ann Mayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942886114
PECOS PAC ID: 1557760824
Enrollment ID: I20210519001700
Provider NameEmily Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871163832
PECOS PAC ID: 4284037573
Enrollment ID: I20210723002186
Provider NameMarc Duke
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1659943322
PECOS PAC ID: 4688078322
Enrollment ID: I20210803002221
Provider NameStephen Berry
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1255903639
PECOS PAC ID: 6406250042
Enrollment ID: I20210804002602
Provider NameEmilie Anne Boline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598334195
PECOS PAC ID: 8527462001
Enrollment ID: I20210805000417
Provider NameHaley Walker Everett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174194864
PECOS PAC ID: 3678971967
Enrollment ID: I20211018002991
Provider NameTeena Thayil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548807654
PECOS PAC ID: 5496143398
Enrollment ID: I20211026002187
Provider NameJulie Kristine Thielke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861156127
PECOS PAC ID: 8921497264
Enrollment ID: I20211108002262
Provider NameYagya Bimali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316609639
PECOS PAC ID: 4183012776
Enrollment ID: I20211130002266
Provider NameSukyong Chun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528722352
PECOS PAC ID: 7719379981
Enrollment ID: I20220120000480
Provider NameKerry F Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366108433
PECOS PAC ID: 3274910922
Enrollment ID: I20220518000978
Provider NameCaroline Igharoro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841960499
PECOS PAC ID: 9436537743
Enrollment ID: I20220527000355
Provider NameJanuka Banjara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528706553
PECOS PAC ID: 7911388038
Enrollment ID: I20220721000863
Provider NameSteven J Ramdeen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679924781
PECOS PAC ID: 3779876859
Enrollment ID: I20230103000661
Provider NameCynthia Kuan Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053081869
PECOS PAC ID: 0143691998
Enrollment ID: I20230114000049
Provider NameLynn Lokelani Shehan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205542131
PECOS PAC ID: 9931564531
Enrollment ID: I20230504001159
Provider NameLeanne Marie Cowles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407548357
PECOS PAC ID: 2860850781
Enrollment ID: I20230623002526
Provider NameDewanna Evette Brandon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487333761
PECOS PAC ID: 9234591041
Enrollment ID: I20230810002917
Provider NameOsariemen Faith Idehen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629859095
PECOS PAC ID: 0840647095
Enrollment ID: I20231108003793
Provider NameTiphani Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053191569
PECOS PAC ID: 0840649323
Enrollment ID: I20231208002273
Provider NameGina Jacobson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245918028
PECOS PAC ID: 8426492406
Enrollment ID: I20240217000503
Provider NameKoe Sierra Alvarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992569917
PECOS PAC ID: 5698110237
Enrollment ID: I20240305002129
Provider NameJennifer Marie Enderline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356813653
PECOS PAC ID: 5698009660
Enrollment ID: I20240306001634
Provider NameBarbara Denise Lloyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376300186
PECOS PAC ID: 7416395785
Enrollment ID: I20240404004280
Provider NameJennifer Lynn Roesner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972333078
PECOS PAC ID: 0345781043
Enrollment ID: I20240921000602
Provider NameDemarco Livingston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003642661
PECOS PAC ID: 7911439591
Enrollment ID: I20241021003336
Provider NameJackqueline L Robertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760214100
PECOS PAC ID: 6901889633
Enrollment ID: I20241107002641
Provider NameAnusha Dhakal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063228831
PECOS PAC ID: 5597293720
Enrollment ID: I20250115001785

Reviews and Comments


Internal Medicine in Elgin, TX

Elgin Medical Center,pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 209 E 2nd St, Elgin, TX 78621
Phone: 512-285-3315    Fax: 512-281-2872
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Phone: 512-229-3334    
T-lifebio
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Phone: 512-817-6774    
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Medicare: Not Enrolled in Medicare
Practice Location: 113 Four Star Dr, Elgin, TX 78621
Phone: 512-213-2366    

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.