| Patient Place P.a. | |
|
401 Hospital Dr Ste 140 Corsicana TX 75110 | |
| (903) 201-6405 | |
| (903) 257-3800 |
| Full Name | Patient Place P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Hospital Dr Ste 140, Corsicana, Texas |
| Authorized Official Name and Position | James W. Blamer (COO) |
| Authorized Official Contact | 2143337333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Place P.a. 14850 Montfort Dr Ste 181 Dallas TX 75254-1450 Ph: (214) 715-6526 | Patient Place P.a. 401 Hospital Dr Ste 140 Corsicana TX 75110 Ph: (903) 201-6405 |
| NPI Number | 1891741922 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 05/25/2021 |
| Medicare PECOS PAC ID | 9032187083 |
|---|---|
| Medicare Enrollment ID | O20040917001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891741922 | NPI | - | NPPES |
| 363170701 | Medicaid | TX | |
| 363170702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Daniel N Metzger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952348823 PECOS PAC ID: 3274519533 Enrollment ID: I20050215000622 |
| Provider Name | Vahe R Dayian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881631992 PECOS PAC ID: 7618921511 Enrollment ID: I20050303000334 |
| Provider Name | Lori Vicsek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982904876 PECOS PAC ID: 0042439028 Enrollment ID: I20161227000933 |
Howard M. Katz Md P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Corsicana, TX 75110 Phone: 903-872-1133 Fax: 903-872-1166 | |
Medical Care Innovation, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 N Business 45, Corsicana, TX 75110 Phone: 903-641-4327 | |
Brock Medical, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3108 W State Highway 22, Corsicana, TX 75110 Phone: 903-257-3668 Fax: 903-213-9245 | |
Navarro Hospital Lp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Suite 150, Corsicana, TX 75110 Phone: 903-641-4800 Fax: 903-641-4822 | |
Medway Biologics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2041 Glenwood Cir, Corsicana, TX 75110 Phone: 214-202-1023 | |
Comprehensive Hospitalist Services Of Texas, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 W State Highway 22, Corsicana, TX 75110 Phone: 903-654-6800 | |
Dcs Medical Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2901 W 7th Ave, Corsicana, TX 75110 Phone: 903-616-0111 |