Medical And Surgical Associates Of Corsicana Pllc is a medicare enrolled "Internal Medicine - Nephrology" provider in Corsicana, Texas. Their current practice location is
400 Hospital Dr, Suite 106, Corsicana, Texas. You can reach out to their office (for appointments etc.) via phone at
(903) 872-3005.
Medical And Surgical Associates Of Corsicana Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Medical And Surgical Associates Of Corsicana 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 1922298199.
Healthcare Provider's Profile
| Full Name | Medical And Surgical Associates Of Corsicana Pllc |
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| Type | Facility |
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| Speciality | Internal Medicine - Nephrology |
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| Location | 400 Hospital Dr, Corsicana, 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: 1922298199
- Provider Enumeration Date: 07/25/2007
- Last Update Date: 09/28/2015
Medicare PECOS Information:
- PECOS PAC ID: 7113015793
- Enrollment ID: O20071115000159
Medical Identifiers
Medical identifiers for Medical And Surgical Associates Of Corsicana Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922298199 | NPI | - | NPPES |
| DG9311 | Other | TX | RAILROAD MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NX0100X | Chiropractor - Occupational Health | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (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.
Medical And Surgical Associates Of Corsicana Pllc acts as a billing entity for following providers:
| Provider Name | Delores G Cook |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1134267198
PECOS PAC ID: 2062484983
Enrollment ID: I20040811000518 |
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| Provider Name | Shawkat N Shafik |
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| Provider Type | Practitioner - Nephrology |
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| Provider Identifiers | NPI Number: 1649244328
PECOS PAC ID: 9830135342
Enrollment ID: I20050706001094 |
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| Provider Name | Janquilyn D Merida |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1740304427
PECOS PAC ID: 2062448384
Enrollment ID: I20050708000662 |
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| Provider Name | Robert G Kingman |
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| Provider Type | Practitioner - General Surgery |
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| Provider Identifiers | NPI Number: 1548234727
PECOS PAC ID: 0941284004
Enrollment ID: I20050708000799 |
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| Provider Name | Dale K Campbell |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1851384648
PECOS PAC ID: 6204839285
Enrollment ID: I20060811000180 |
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| Provider Name | David S Stevener |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1609193721
PECOS PAC ID: 4486883915
Enrollment ID: I20140204000522 |
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| Provider Name | Bahraum Daniel Daneshfar |
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| Provider Type | Practitioner - General Surgery |
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| Provider Identifiers | NPI Number: 1447552039
PECOS PAC ID: 6103128434
Enrollment ID: I20160104002217 |
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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. Medical And Surgical Associates Of Corsicana 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 |
|---|
Medical And Surgical Associates Of Corsicana Pllc
401 Hospital Dr, Suite 120,
Corsicana, TX 75110-2415
Ph: (903) 872-3005 | Medical And Surgical Associates Of Corsicana Pllc
400 Hospital Dr, Suite 106,
Corsicana, TX 75110-2489
Ph: (903) 872-3005 |
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