| Panhandle Gastroenterology, Pa | |
|
800 Quail Creek Dr Suite 101 Amarillo TX 79124-1634 | |
| (806) 354-9400 | |
| (806) 354-9403 |
| Full Name | Panhandle Gastroenterology, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Quail Creek Dr, Amarillo, Texas |
| Authorized Official Name and Position | Kuldip S Banwait (CEO) |
| Authorized Official Contact | 8063549400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Gastroenterology, Pa Po Box 50537 Amarillo TX 79159-0537 Ph: (806) 354-9400 | Panhandle Gastroenterology, Pa 800 Quail Creek Dr Suite 101 Amarillo TX 79124-1634 Ph: (806) 354-9400 |
| NPI Number | 1437336211 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 1052499621 |
|---|---|
| Medicare Enrollment ID | O20080422000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437336211 | NPI | - | NPPES |
| M4993 | Other | TX | PHYSICIAN PERMIT |
| 0031QW | Other | TX | BCBS PROVIDER GROUP NO. |
| 00Y904 | Other | TX | MEDICARE GROUP BILLING NUMBER |
| 184296503 | Medicaid | TX | |
| 7830853 | Other | TX | AETNA PROVIDER ID |
| DN1508 | Other | RAILROAD MEDICARE | |
| 00149690 | Other | TX | DPS |
| 197441201 | Other | TX | MEDICAID GROUP BILLING NUMBER |
| 8AW200 | Other | TX | BCBS PROVIDER NO. |
| 8J2689 | Other | TX | JO WYATT CLINIC MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | M4993 (Texas) | Primary |
| Provider Name | Kuldip S Banwait |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699877670 PECOS PAC ID: 0143117390 Enrollment ID: I20070330000206 |
| Provider Name | Sarah Christine Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629364435 PECOS PAC ID: 1355512062 Enrollment ID: I20110928000591 |
| Provider Name | Christopher Jones |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346538139 PECOS PAC ID: 3375830706 Enrollment ID: I20160928001185 |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
Regence Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3113 Ross St, Amarillo, TX 79103 Phone: 806-374-7341 Fax: 806-322-0533 | |
Fmc Medical Foundation, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 S Coulter St Ste 1, Amarillo, TX 79106 Phone: 806-354-0404 Fax: 806-354-2810 | |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |
Fmc Coulter & 34th Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121 Phone: 806-350-8850 Fax: 806-350-8855 | |
Texas Tech Uhsc Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9559 Fax: 806-351-3765 | |
Regence Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 N Taylor St Ste B, Amarillo, TX 79107 Phone: 806-345-7917 Fax: 806-345-7921 |