Sudan Medical Clinic, Llc - Medicare Primary Care in Sudan, TX

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Sudan Medical Clinic, Llc is a medicare enrolled primary clinic (Physician Assistant) in Sudan, Texas. The current practice location for Sudan Medical Clinic, Llc is 408 E Us Hwy 84, Sudan, Texas. For appointments, you can reach them via phone at (806) 227-2292. The mailing address for Sudan Medical Clinic, Llc is Po Box 119, Sudan, Texas and phone number is (806) 227-2292.

Sudan Medical Clinic, Llc is licensed to practice in Texas (license number PA02006). The clinic also participates in the medicare program and its NPI number is 1215942073. 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 (806) 227-2292.

Contact Information

Sudan Medical Clinic, Llc
408 E Us Hwy 84
Sudan
TX 79371
(806) 227-2292
(806) 227-2293

Map and Direction


Primary Care Clinic Profile

Full NameSudan Medical Clinic, Llc
SpecialityPhysician Assistant
Location408 E Us Hwy 84, Sudan, Texas
Authorized Official Name and PositionMark Lee Mcclanahan (PRESIDENT/PHYSICIAN)
Authorized Official Contact8062272292
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sudan Medical Clinic, Llc
Po Box 119
Sudan
TX 79371-0119

Ph: (806) 227-2292		Sudan Medical Clinic, Llc
408 E Us Hwy 84
Sudan
TX 79371

Ph: (806) 227-2292

NPI Details:

NPI Number1215942073
Provider Enumeration Date07/30/2006
Last Update Date04/12/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7618999004
Medicare Enrollment IDO20051229000131

Medical Identifiers

Medical identifiers for Sudan Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215942073NPI-NPPES
118927111OtherTXFIRST CARE
00963ZOtherMEDICARE
137527OtherTXSUPERIOR HEALTH PLAN
178241901MedicaidTX
178241902MedicaidTX
0074NHOtherTXBLUE CROSS BLUE SHIELD
673950OtherTXMEDICARE
673951OtherTXMEDICARE
5594300001OtherTXPALMETTO GBA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine H4531 (Texas)Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary
363A00000XPhysician Assistant PA02006 (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. Sudan Medical Clinic, Llc acts as a billing entity for following providers:
Provider NameMark L Mcclanahan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750377198
PECOS PAC ID: 0244252633
Enrollment ID: I20051229000144
Provider NameLinda N Bullock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619975604
PECOS PAC ID: 5092877274
Enrollment ID: I20081222000657
Provider NameErin Jo Gonzales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265927545
PECOS PAC ID: 6103174891
Enrollment ID: I20180813003154
Provider NameJaysol Eysbet Venzor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255054755
PECOS PAC ID: 0244606242
Enrollment ID: I20221017001070

Reviews and Comments


Physician Assistant in Sudan, TX


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.