| Elevate Healthcare, Llc | |
|
5160 Village Creek Dr Ste 100 Plano TX 75093-4423 | |
| (214) 271-9962 | |
| (214) 964-0817 |
| Full Name | Elevate Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5160 Village Creek Dr Ste 100, Plano, Texas |
| Authorized Official Name and Position | Margie Canarios Barilla (CEO) |
| Authorized Official Contact | 2142719962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Healthcare, Llc 5160 Village Creek Dr Ste 100 Plano TX 75093-4423 Ph: (214) 271-9962 | Elevate Healthcare, Llc 5160 Village Creek Dr Ste 100 Plano TX 75093-4423 Ph: (214) 271-9962 |
| NPI Number | 1508338690 |
|---|---|
| Provider Enumeration Date | 12/29/2018 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Medicare PECOS PAC ID | 6406195759 |
|---|---|
| Medicare Enrollment ID | O20190304001247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508338690 | NPI | - | NPPES |
| 4012718 | Medicaid | TX | |
| 3663353 | Medicaid | TX |
| Provider Name | Jawad Riaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962425280 PECOS PAC ID: 9335185446 Enrollment ID: I20131021001316 |
| Provider Name | Faiza N Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780766295 PECOS PAC ID: 5193801520 Enrollment ID: I20170512000476 |
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