Joshua N Splinter, MD - Medicare Family Practice in Athens, TX

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Joshua N Splinter, MD is a medicare enrolled "Internal Medicine" physician in Athens, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lakeland Medical Associates and his current practice location is 117 Medical Cir, Athens, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 676-3200.

Joshua N Splinter is licensed to practice in Texas (license number P8546) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306109228.

Contact Information

Joshua N Splinter, MD
117 Medical Cir,
Athens, TX 75751-9003
(903) 676-3200
Not Available

Map and Direction




Physician's Profile

Full NameJoshua N Splinter
GenderMale
SpecialityFamily Practice
Experience12 Years
Location117 Medical Cir, Athens, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Joshua N Splinter attended and graduated from University Of Texas Medical School At San Antonio in 2012
  NPI Data:
  • NPI Number: 1306109228
  • Provider Enumeration Date: 06/18/2012
  • Last Update Date: 11/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1355661158
  • Enrollment ID: I20150519001099

Medical Identifiers

Medical identifiers for Joshua N Splinter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306109228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine P8546 (Texas)Secondary
207Q00000XFamily Medicine 53218 (Tennessee)Secondary
207R00000XInternal Medicine P8546 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ut Health East Texas Home Health ServicesAthens, TXHome health agency
Ut Health East Texas Athens HospitalAthens, TXHospital
Ut Health East Texas Tyler Regional HospitalTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Medical Associates256747614618

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Joshua N Splinter allows following entities to bill medicare on his behalf.
Entity NameLakeland Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528063534
PECOS PAC ID: 2567476146
Enrollment ID: O20060202000852
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Entity NameLonestar Hospital Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518237429
PECOS PAC ID: 6709049703
Enrollment ID: O20120530000620
Entity NameHospitalist Medicine Physicians Of Texas Lufkin Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881173060
PECOS PAC ID: 3375895063
Enrollment ID: O20181008001763

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. Joshua N Splinter 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 AddressPractice Location Address
Joshua N Splinter, MD
Po Box 844658,
Dallas, TX 75284-4658

Ph: () -		Joshua N Splinter, MD
117 Medical Cir,
Athens, TX 75751-9003

Ph: (903) 676-3200

Reviews and Comments


Internal Medicine Doctors in Athens, TX

Jay Takata,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 901 S Palestine St, Athens, TX 75751
Phone: 903-677-3737    Fax: 903-677-6014
Srikar Reddy Mapakshi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 115 S Murchison St, Athens, TX 75751
Phone: 903-677-3737    Fax: 903-677-6014
Mr. Ronald Dwayne Cates, MD PA
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 704 S Palestine, Athens, TX 75751
Phone: 903-675-1717    Fax: 903-675-3338
Shawn Tai, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 115 Medical Cir Ste 106, Athens, TX 75751
Phone: 903-675-1322    Fax: 903-675-6743
Dr. Steven Helf, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1505 State Highway 19 S, Athens, TX 75751
Phone: 903-675-1725    
Dr. Maung Maung Oo, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 115 Medical Cir, Suite 106, Athens, TX 75751
Phone: 903-675-1322    Fax: 903-675-6743
Michael C Tobes, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1212 S Palestine St, Athens, TX 75751
Phone: 903-675-6800    Fax: 903-670-1134

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.