Rockwall Elite Healthcare Pllc is a medicare enrolled "Family Medicine" provider in Rockwall, Texas. Their current practice location is
105 N Goliad St, Rockwall, Texas. You can reach out to their office (for appointments etc.) via phone at
(972) 961-0673.
Rockwall Elite Healthcare Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Rockwall Elite Healthcare 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 1346879350.
Healthcare Provider's Profile
| Full Name | Rockwall Elite Healthcare Pllc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 105 N Goliad St, Rockwall, 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: 1346879350
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 11/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618387051
- Enrollment ID: O20201113000861
Medical Identifiers
Medical identifiers for Rockwall Elite Healthcare Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346879350 | 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)) | Primary |
| 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.
Rockwall Elite Healthcare Pllc acts as a billing entity for following providers:
| Provider Name | Joseph C Migliaccio |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1760660518
PECOS PAC ID: 5597992107
Enrollment ID: I20131205000762 |
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| Provider Name | Susana Mendez |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1639502347
PECOS PAC ID: 6901199827
Enrollment ID: I20160728002559 |
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| Provider Name | Michael Zann Mcmahan |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1710064209
PECOS PAC ID: 4789786583
Enrollment ID: I20201013001542 |
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| Provider Name | Nilam H Patel |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1528670437
PECOS PAC ID: 5991125247
Enrollment ID: I20201026002760 |
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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. Rockwall Elite Healthcare 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 |
|---|
Rockwall Elite Healthcare Pllc
105 N Goliad St,
Rockwall, TX 75087-2539
Ph: (972) 961-0673 | Rockwall Elite Healthcare Pllc
105 N Goliad St,
Rockwall, TX 75087-2539
Ph: (972) 961-0673 |
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