Ut East Texas Urgent Care Centers, Pllc - Medicare Primary Care in Canton, TX

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Ut East Texas Urgent Care Centers, Pllc is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Canton, Texas. The current practice location for Ut East Texas Urgent Care Centers, Pllc is 301 E State Highway 243 Ste 121, Canton, Texas. For appointments, you can reach them via phone at (903) 567-4692. The mailing address for Ut East Texas Urgent Care Centers, Pllc is 340 Seven Springs Way Ste 100, Brentwood, Tennessee and phone number is (615) 296-3594.

Ut East Texas Urgent Care Centers, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1356974281. 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 (903) 567-4692.

Contact Information

Ut East Texas Urgent Care Centers, Pllc
301 E State Highway 243 Ste 121
Canton
TX 75103-2418
(903) 567-4692
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameUt East Texas Urgent Care Centers, Pllc
SpecialityClinic/Center
Location301 E State Highway 243 Ste 121, Canton, Texas
Authorized Official Name and PositionStephen C. Petrovich (EVP, GENERAL COUNSEL)
Authorized Official Contact6152963594
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ut East Texas Urgent Care Centers, Pllc
340 Seven Springs Way Ste 100
Brentwood
TN 37027-5697

Ph: (615) 296-3594		Ut East Texas Urgent Care Centers, Pllc
301 E State Highway 243 Ste 121
Canton
TX 75103-2418

Ph: (903) 567-4692

NPI Details:

NPI Number1356974281
Provider Enumeration Date02/19/2020
Last Update Date10/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7517385388
Medicare Enrollment IDO20200910000672

Medical Identifiers

Medical identifiers for Ut East Texas Urgent Care Centers, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356974281NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (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. Ut East Texas Urgent Care Centers, Pllc acts as a billing entity for following providers:
Provider NameGary D Babbitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326018797
PECOS PAC ID: 5092786137
Enrollment ID: I20040803001163
Provider NameStephen P Rydzak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184656555
PECOS PAC ID: 0749193811
Enrollment ID: I20060908000408
Provider NameBethany G Starks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245419001
PECOS PAC ID: 8820176431
Enrollment ID: I20080423000225
Provider NameMary J Starling
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053464610
PECOS PAC ID: 8527137751
Enrollment ID: I20080514000522
Provider NameHoward K Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659548402
PECOS PAC ID: 7214092147
Enrollment ID: I20090213000394
Provider NameMelissa M Gabel-alvarado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174856025
PECOS PAC ID: 2264579341
Enrollment ID: I20091021000753
Provider NameJonathan W Pino
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124356613
PECOS PAC ID: 8628112992
Enrollment ID: I20100224000713
Provider NameMichael E Hellemn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881887057
PECOS PAC ID: 3577748581
Enrollment ID: I20110505000782
Provider NameLindsey N Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790176287
PECOS PAC ID: 2567789662
Enrollment ID: I20150331000420
Provider NameSylvain Nitcheu Tientcheu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346632239
PECOS PAC ID: 8729306733
Enrollment ID: I20150422001623
Provider NameJoseph C Bass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043608540
PECOS PAC ID: 8123348000
Enrollment ID: I20150515001231
Provider NameBryan Juan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538549175
PECOS PAC ID: 6800194382
Enrollment ID: I20180711001091
Provider NameValarie M Chambless
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215423397
PECOS PAC ID: 3476802919
Enrollment ID: I20180816002798
Provider NameNancy Mosby Yarnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093288110
PECOS PAC ID: 8426397076
Enrollment ID: I20190227000168
Provider NameCassandra L Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447813449
PECOS PAC ID: 8123361540
Enrollment ID: I20190528000667
Provider NameEzenwanyi Onwuchekwa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588218754
PECOS PAC ID: 9032541156
Enrollment ID: I20191112000071
Provider NameBrandi Jo Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265095202
PECOS PAC ID: 3779914007
Enrollment ID: I20200520002222
Provider NameLinus Scott Medley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497050306
PECOS PAC ID: 0446433007
Enrollment ID: I20200521000187
Provider NameKellie Soria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801496328
PECOS PAC ID: 7810305844
Enrollment ID: I20210412002695
Provider NameWilliam Alex Nicodemus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427565068
PECOS PAC ID: 4880095645
Enrollment ID: I20210630002409
Provider NameChandler Mccarty Hrobar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912570524
PECOS PAC ID: 7911302609
Enrollment ID: I20210818001637
Provider NameLindsey Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750041950
PECOS PAC ID: 6103219274
Enrollment ID: I20220214000664
Provider NameJennifer Ann Hamilton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457809709
PECOS PAC ID: 3173916046
Enrollment ID: I20220217001424
Provider NameTina L Coen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538794169
PECOS PAC ID: 1254725070
Enrollment ID: I20220221002311
Provider NameLisa Kalynn Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154920247
PECOS PAC ID: 8921493644
Enrollment ID: I20220316001359
Provider NameChristena Kay Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932854692
PECOS PAC ID: 0941695472
Enrollment ID: I20220321001615
Provider NameMary Martha Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871189464
PECOS PAC ID: 8527442052
Enrollment ID: I20220901002594
Provider NameRonny G George
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114634656
PECOS PAC ID: 5193197762
Enrollment ID: I20230207003553
Provider NameJordan Brooke January
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659978021
PECOS PAC ID: 6204294325
Enrollment ID: I20230622001398
Provider NameVictoria O Obianwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124708078
PECOS PAC ID: 3779931308
Enrollment ID: I20231121000963
Provider NameMegan Michelle Osorio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992520225
PECOS PAC ID: 9739615063
Enrollment ID: I20241210004757
Provider NameChelsea Emmert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952109217
PECOS PAC ID: 8325563802
Enrollment ID: I20250416003836

Reviews and Comments


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Phone: 903-567-4692    Fax: 903-225-1995
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East Texas Community Clinic, Inc.
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Dailey Medical Clinic
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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.