Channel Medical Group, P.a. is a medicare enrolled "General Practice" provider in Dallas, Texas. Their current practice location is
325 N Saint Paul St Ste 3100, Dallas, Texas. You can reach out to their office (for appointments etc.) via phone at
(646) 389-3451.
Channel Medical Group, P.a. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Channel Medical Group, P.a.
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 1215670070.
Healthcare Provider's Profile
Full Name | Channel Medical Group, P.a. |
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Type | Facility |
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Speciality | General Practice |
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Location | 325 N Saint Paul St Ste 3100, Dallas, Texas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215670070
- Provider Enumeration Date: 04/19/2022
- Last Update Date: 03/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941670608
- Enrollment ID: O20221221002771
Medical Identifiers
Medical identifiers for Channel Medical Group, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215670070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Channel Medical Group, P.a. acts as a billing entity for following providers:
Provider Name | Sheila N Behimehr |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1053969766 PECOS PAC ID: 1850621913 Enrollment ID: I20191002003578 |
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Provider Name | Elizabeth Courtney Ortiz |
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Provider Type | Practitioner - Rheumatology |
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Provider Identifiers | NPI Number: 1407072192 PECOS PAC ID: 1557452604 Enrollment ID: I20221221002935 |
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Provider Name | Sandra Monica Gonzalez |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1336863893 PECOS PAC ID: 8820468408 Enrollment ID: I20221222000972 |
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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. Channel Medical Group, P.a. 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 |
Channel Medical Group, P.a. 123 5th Ave Fl 2, New York, NY 10003-1019 Ph: (833) 447-2775 | Channel Medical Group, P.a. 325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923 Ph: (646) 389-3451 |
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