Wichita Medical Group Pllc is a medicare enrolled "Family Medicine" provider in Wichita Falls, Texas. Their current practice location is
3801 Call Field Rd Ste 300, Wichita Falls, Texas. You can reach out to their office (for appointments etc.) via phone at
(940) 322-2400.
Wichita Medical Group Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Wichita Medical Group 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 1770093130.
Healthcare Provider's Profile
| Full Name | Wichita Medical Group Pllc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 3801 Call Field Rd Ste 300, Wichita Falls, 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: 1770093130
- Provider Enumeration Date: 10/11/2017
- Last Update Date: 06/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961761549
- Enrollment ID: O20180108001035
Medical Identifiers
Medical identifiers for Wichita Medical Group Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770093130 | 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.
Wichita Medical Group Pllc acts as a billing entity for following providers:
| Provider Name | Stewart Chapman |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1265489579
PECOS PAC ID: 7810982444
Enrollment ID: I20040414001860 |
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| Provider Name | Cari Amanda Guidry |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1992814784
PECOS PAC ID: 8426080557
Enrollment ID: I20050909000427 |
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| Provider Name | Eric Lee Williams |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1003219767
PECOS PAC ID: 9537598594
Enrollment ID: I20200326003651 |
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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. Wichita Medical Group 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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Wichita Medical Group Pllc
3801 Call Field Rd Ste 300,
Wichita Falls, TX 76308-2682
Ph: (940) 322-2400 | Wichita Medical Group Pllc
3801 Call Field Rd Ste 300,
Wichita Falls, TX 76308-2682
Ph: (940) 322-2400 |
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