Texas Regional Healthcare Pllc is a medicare enrolled "Neuromusculoskeletal Medicine, Sports Medicine" provider in Missouri City, Texas. Their current practice location is
2837 Dulles Ave Ste C, Missouri City, Texas. You can reach out to their office (for appointments etc.) via phone at
(281) 208-7335.
Texas Regional Healthcare Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Texas Regional 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 1407500465.
Healthcare Provider's Profile
| Full Name | Texas Regional Healthcare Pllc |
|---|
| Type | Facility |
|---|
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|
| Location | 2837 Dulles Ave Ste C, Missouri City, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1407500465
- Provider Enumeration Date: 02/09/2022
- Last Update Date: 02/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496141459
- Enrollment ID: O20220331001394
Medical Identifiers
Medical identifiers for Texas Regional Healthcare Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407500465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NN0400X | Chiropractor - Neurology | (* (Not Available)) | Secondary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (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.
Texas Regional Healthcare Pllc acts as a billing entity for following providers:
| Provider Name | Derrick E. Randdolf |
|---|
| Provider Type | Practitioner - Family Practice |
|---|
| Provider Identifiers | NPI Number: 1104205343
PECOS PAC ID: 8426348178
Enrollment ID: I20171130001563 |
|---|
| Provider Name | Kimberly L Detherow |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1811458094
PECOS PAC ID: 1557604097
Enrollment ID: I20190523002103 |
|---|
| Provider Name | Kelsi N Locke |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1992263032
PECOS PAC ID: 8022442508
Enrollment ID: I20191217001766 |
|---|
| Provider Name | Bernadette Olivier |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1457345308
PECOS PAC ID: 1658320163
Enrollment ID: I20200205000133 |
|---|
| Provider Name | Samantha Boatner |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1891316048
PECOS PAC ID: 2466847454
Enrollment ID: I20220309001161 |
|---|
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. Texas Regional 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 |
|---|
Texas Regional Healthcare Pllc
2837 Dulles Ave Ste C,
Missouri City, TX 77459-2950
Ph: () - | Texas Regional Healthcare Pllc
2837 Dulles Ave Ste C,
Missouri City, TX 77459-2950
Ph: (281) 208-7335 |
Reviews and Comments