Pineywoods Diagnostic Clinic is a medicare enrolled primary clinic (Internal Medicine) in Huntington, Texas. The current practice location for Pineywoods Diagnostic Clinic is 106 Highway 69 N, Huntington, Texas. For appointments, you can reach them via phone at
(936) 876-5719. The mailing address for Pineywoods Diagnostic Clinic is Po Box 1297, Huntington, Texas and phone number is (936) 876-5719.
Pineywoods Diagnostic Clinic is licensed to practice in Texas (license number J9263). The clinic also participates in the medicare program and its
NPI number is 1447339916. 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
(936) 876-5719.
Primary Care Clinic Profile
| Full Name | Pineywoods Diagnostic Clinic |
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| Speciality | Internal Medicine |
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| Location | 106 Highway 69 N, Huntington, Texas |
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| Authorized Official Name and Position | Lenin Pinnamaneni (PARTNER) |
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| Authorized Official Contact | 9368765719 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pineywoods Diagnostic Clinic
Po Box 1297
Huntington
TX 75949-1297
Ph: (936) 876-5719 | Pineywoods Diagnostic Clinic
106 Highway 69 N
Huntington
TX 75949
Ph: (936) 876-5719 |
NPI Details:
| NPI Number | 1447339916 |
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| Provider Enumeration Date | 11/03/2006 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2769489608 |
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| Medicare Enrollment ID | O20061107000111 |
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Medical Identifiers
Medical identifiers for Pineywoods Diagnostic Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447339916 | NPI | - | NPPES |
| DB3800 | Other | TX | RAILROAD MEDICARE |
| 00T87K | Other | TX | BLUECROSS BLUESHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0505X | Family Medicine - Adult Medicine | F8981 (Texas) | Primary |
| 207QA0505X | Family Medicine - Adult Medicine | J9263 (Texas) | Primary |
| 207R00000X | Internal Medicine | F8981 (Texas) | Primary |
| 207R00000X | Internal Medicine | J9263 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pineywoods Diagnostic Clinic acts as a billing entity for following providers:
| Provider Name | Lenin Pinnamaneni |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1871595819
PECOS PAC ID: 7517148984
Enrollment ID: I20110218000487 |
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| Provider Name | Pavan Pinnamaneni |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1336470434
PECOS PAC ID: 0840463691
Enrollment ID: I20131219000317 |
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