10611 Medical Associates Pllc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Lubbock, Texas. Their current practice location is
10611 Quaker Ave, Lubbock, Texas. You can reach out to their office (for appointments etc.) via phone at
(806) 797-4000.
10611 Medical Associates Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 10611 Medical Associates Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1891430989.
Healthcare Provider's Profile
| Full Name | 10611 Medical Associates Pllc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 10611 Quaker Ave, Lubbock, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891430989
- Provider Enumeration Date: 05/03/2022
- Last Update Date: 05/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103207428
- Enrollment ID: O20220719000047
Medical Identifiers
Medical identifiers for 10611 Medical Associates Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891430989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
10611 Medical Associates Pllc acts as a billing entity for following providers:
| Provider Name | Jason C Helton |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1194725176
PECOS PAC ID: 7416965777
Enrollment ID: I20060328000375 |
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| Provider Name | Jennifer M Ezell |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1740464288
PECOS PAC ID: 2961586862
Enrollment ID: I20080303000278 |
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| Provider Name | Cristan D Ledbetter |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1427417633
PECOS PAC ID: 7315237930
Enrollment ID: I20160622001576 |
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| Provider Name | Curtis C Stacy |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1497908990
PECOS PAC ID: 0941570618
Enrollment ID: I20170728000574 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. 10611 Medical Associates Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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10611 Medical Associates Pllc
10611 Quaker Ave,
Lubbock, TX 79424-8309
Ph: (806) 797-4000 | 10611 Medical Associates Pllc
10611 Quaker Ave,
Lubbock, TX 79424-8309
Ph: (806) 797-4000 |
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