Mc Medical Llc - Medicare Mental Health Clinic in Dallas, GA

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Mc Medical Llc is a medicare enrolled mental health clinic (General Practice) in Dallas, Georgia. The current practice location for Mc Medical Llc is 3615 Charles Hardy Pkwy Ste 200, Dallas, Georgia. For appointments, you can reach them via phone at (770) 863-7200. The mailing address for Mc Medical Llc is 702 Sw 8th St, Bentonville, Arkansas and phone number is (770) 863-7200.

Mc Medical Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1356907695. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (770) 863-7200.

Contact Information

Mc Medical Llc
3615 Charles Hardy Pkwy Ste 200
Dallas
GA 30157-9472
(770) 863-7200
(770) 505-5690

Map and Direction


Mental Health Clinic Profile

Full NameMc Medical Llc
SpecialityGeneral Practice
Location3615 Charles Hardy Pkwy Ste 200, Dallas, Georgia
Authorized Official Name and PositionSoujanya Pulluru (PRESIDENT)
Authorized Official Contact7708637200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mc Medical Llc
702 Sw 8th St
Bentonville
AR 72716-0445

Ph: (770) 863-7200		Mc Medical Llc
3615 Charles Hardy Pkwy Ste 200
Dallas
GA 30157-9472

Ph: (770) 863-7200

NPI Details:

NPI Number1356907695
Provider Enumeration Date05/13/2019
Last Update Date12/14/2021
Certification Date12/13/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4183955974
Medicare Enrollment IDO20191009000622

Medical Identifiers

Medical identifiers for Mc Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356907695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary
231H00000XAudiologist (* (Not Available))Secondary
363L00000XNurse 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. Mc Medical Llc acts as a billing entity for following providers:
Provider NameByron P Thompson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891888343
PECOS PAC ID: 2961307459
Enrollment ID: I20031208000124
Provider NameClayton M Ramsue
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659549103
PECOS PAC ID: 0749259604
Enrollment ID: I20040928000306
Provider NameRoland Wade Nash
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033197785
PECOS PAC ID: 6901881093
Enrollment ID: I20070305000440
Provider NameAmamda V Sahai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528196284
PECOS PAC ID: 2062596463
Enrollment ID: I20080225000132
Provider NameConnie L Witt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902804297
PECOS PAC ID: 5991617219
Enrollment ID: I20080226000805
Provider NameKristin Summey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659530756
PECOS PAC ID: 0446322358
Enrollment ID: I20080710000200
Provider NameMuna E Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497894133
PECOS PAC ID: 2961540208
Enrollment ID: I20091106000415
Provider NameAurelio D Manto
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982686846
PECOS PAC ID: 0143115147
Enrollment ID: I20091230000673
Provider NameSherry J Pass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811050131
PECOS PAC ID: 1658406418
Enrollment ID: I20100318000223
Provider NameKarene G Boone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194051698
PECOS PAC ID: 4688704380
Enrollment ID: I20100607000383
Provider NameIfeoma Nnaji
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295830701
PECOS PAC ID: 8325149172
Enrollment ID: I20101014000162
Provider NameKristy Z Levarity Conley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760672281
PECOS PAC ID: 6204021223
Enrollment ID: I20101116000318
Provider NameLinda J Wynn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124268784
PECOS PAC ID: 5496937252
Enrollment ID: I20110315000849
Provider NameElizabeth A Stargell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821379033
PECOS PAC ID: 8820260128
Enrollment ID: I20111010000597
Provider NameTrina D Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295969475
PECOS PAC ID: 7012182488
Enrollment ID: I20111213000754
Provider NameMelinda E Jennings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902151012
PECOS PAC ID: 6507012846
Enrollment ID: I20120802000135
Provider NamePaula S Thibault
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194082461
PECOS PAC ID: 3072760628
Enrollment ID: I20120904000493
Provider NameTara A Sane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417204132
PECOS PAC ID: 8022267061
Enrollment ID: I20121005000537
Provider NameCatherine N Kiarie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548692270
PECOS PAC ID: 7012151491
Enrollment ID: I20130925000545
Provider NameTamika D Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689015257
PECOS PAC ID: 4880821164
Enrollment ID: I20131211001616
Provider NameSarah E Gravel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275967507
PECOS PAC ID: 4789816448
Enrollment ID: I20140410001880
Provider NameAllison R Varnum-miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427300805
PECOS PAC ID: 8123245412
Enrollment ID: I20140811000755
Provider NameKimberly Perkins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306171129
PECOS PAC ID: 2163643925
Enrollment ID: I20141020000836
Provider NameErica R Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457595944
PECOS PAC ID: 5890979025
Enrollment ID: I20141023000965
Provider NameOrlin Marquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659771434
PECOS PAC ID: 5395966576
Enrollment ID: I20141103000446
Provider NameTawya S Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366760407
PECOS PAC ID: 5395060560
Enrollment ID: I20150210001419
Provider NameMaria Martinez-barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952584112
PECOS PAC ID: 3577889344
Enrollment ID: I20150313001746
Provider NamePatricia Annette Barrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023370483
PECOS PAC ID: 5294052957
Enrollment ID: I20150323002416
Provider NameJanki A Patel
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1851535918
PECOS PAC ID: 7315174604
Enrollment ID: I20150727002157
Provider NameLatalya H Louis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992100267
PECOS PAC ID: 0749594166
Enrollment ID: I20150729009434
Provider NameVelair Walton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851611214
PECOS PAC ID: 4385863646
Enrollment ID: I20151103001849
Provider NameChristiana Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699144709
PECOS PAC ID: 3870894041
Enrollment ID: I20151211000844
Provider NameJodian White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104299981
PECOS PAC ID: 6709188253
Enrollment ID: I20151230001502
Provider NameJason Pendergrass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578929774
PECOS PAC ID: 3173827797
Enrollment ID: I20160202001497
Provider NameKelsey M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700245602
PECOS PAC ID: 9830495936
Enrollment ID: I20160316001404
Provider NameDonald C Spoon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013381391
PECOS PAC ID: 4082910062
Enrollment ID: I20160317001268
Provider NameMiriam Layne Vohrer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114381282
PECOS PAC ID: 4789983222
Enrollment ID: I20160504001419
Provider NameMithun Daniel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508206319
PECOS PAC ID: 5991098170
Enrollment ID: I20160726001185
Provider NamePamela Evette Hensley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851834998
PECOS PAC ID: 2062793359
Enrollment ID: I20161228001069
Provider NameEmily Battaglia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508300690
PECOS PAC ID: 2668753708
Enrollment ID: I20170103000771
Provider NameSharonda Ivey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669875225
PECOS PAC ID: 2567766090
Enrollment ID: I20170117001545
Provider NameKacie M Proctor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558804971
PECOS PAC ID: 3779868195
Enrollment ID: I20170328001034
Provider NameJoann H Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841287612
PECOS PAC ID: 1658394689
Enrollment ID: I20180524000997
Provider NameJennifer Lynn Davenport
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700394319
PECOS PAC ID: 0446224083
Enrollment ID: I20180730003411
Provider NameKeesha Sledge
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821401704
PECOS PAC ID: 2466701891
Enrollment ID: I20180818000141
Provider NameShakia Tramaine Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528420452
PECOS PAC ID: 9133414642
Enrollment ID: I20181001002690
Provider NameCarlyn Sainvil
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609312909
PECOS PAC ID: 4587917877
Enrollment ID: I20181103000009
Provider NameBrandi Jenee Wilson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780862615
PECOS PAC ID: 2163769191
Enrollment ID: I20190129000748
Provider NameElizabeth E Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891279063
PECOS PAC ID: 5193063899
Enrollment ID: I20190205000551
Provider NameAmanda Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043720758
PECOS PAC ID: 7517208424
Enrollment ID: I20190402002329
Provider NameElizabeth Maimo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295216216
PECOS PAC ID: 1557699725
Enrollment ID: I20190826002951
Provider NameTsitsi Muhoma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497308506
PECOS PAC ID: 8628306552
Enrollment ID: I20190829003236
Provider NameNaomi S Morson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487138863
PECOS PAC ID: 7214272855
Enrollment ID: I20190917000789
Provider NameSonatisha N Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093298069
PECOS PAC ID: 1052743259
Enrollment ID: I20191108001162
Provider NameAlice J Haskins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194042036
PECOS PAC ID: 0143577346
Enrollment ID: I20191116000352
Provider NameLekembria Mashari Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649706870
PECOS PAC ID: 0345673604
Enrollment ID: I20191127002646
Provider NameBhavika Rajanikant Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770920258
PECOS PAC ID: 4587895503
Enrollment ID: I20191210003567
Provider NameNkechi R Okonta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558915173
PECOS PAC ID: 3072947001
Enrollment ID: I20191230001178
Provider NameCharlotte Angwabu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134782493
PECOS PAC ID: 0840626461
Enrollment ID: I20200130000529
Provider NameTenisha L Meko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356843528
PECOS PAC ID: 1951737352
Enrollment ID: I20200203002334
Provider NameMichelle Lois Walraven
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164864054
PECOS PAC ID: 7517396088
Enrollment ID: I20200403001758
Provider NameLashanda Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205306891
PECOS PAC ID: 8325479140
Enrollment ID: I20200512001111
Provider NameKristy S Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295388775
PECOS PAC ID: 1153744206
Enrollment ID: I20200707003307
Provider NameAjoke S James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982180469
PECOS PAC ID: 9032533450
Enrollment ID: I20200717002806
Provider NameCrystal W Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386273753
PECOS PAC ID: 2062837636
Enrollment ID: I20200730001695
Provider NameMilly K Bhalani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255884227
PECOS PAC ID: 2466730577
Enrollment ID: I20200911000256
Provider NameSelina Michelle Fambro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215548003
PECOS PAC ID: 2961821830
Enrollment ID: I20200925000592
Provider NameLeslie Perez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780004184
PECOS PAC ID: 6901179431
Enrollment ID: I20201021001058
Provider NameAngela Nicole Zeigler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386259562
PECOS PAC ID: 4880004126
Enrollment ID: I20201028000366
Provider NameAdrienne Mitchell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740576743
PECOS PAC ID: 8426344987
Enrollment ID: I20201125002373
Provider NameKenneth Emeka Akalonu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417268186
PECOS PAC ID: 0345479614
Enrollment ID: I20201203001599
Provider NameKatrina Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376037507
PECOS PAC ID: 0042623308
Enrollment ID: I20210105001095
Provider NameLacrease M Curtis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265762975
PECOS PAC ID: 6800203365
Enrollment ID: I20210329002076
Provider NameRozina Allibhoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497102073
PECOS PAC ID: 4385051697
Enrollment ID: I20210405001219
Provider NameKunal Gupta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619405933
PECOS PAC ID: 9133547193
Enrollment ID: I20210405001349
Provider NameJunienne Richards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740839513
PECOS PAC ID: 0345657441
Enrollment ID: I20210407000327
Provider NameTommy Hoang
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639765365
PECOS PAC ID: 6507274834
Enrollment ID: I20210426001529
Provider NamePrecious Hooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942765367
PECOS PAC ID: 7416366125
Enrollment ID: I20210510002855
Provider NameRaynard Sterling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780191353
PECOS PAC ID: 1557770260
Enrollment ID: I20210511000154
Provider NameYosefa C Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982252250
PECOS PAC ID: 4385053669
Enrollment ID: I20210518000894
Provider NameBrittany Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356983928
PECOS PAC ID: 7810396256
Enrollment ID: I20210604000840
Provider NameTenisha Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619475910
PECOS PAC ID: 5092079707
Enrollment ID: I20210604002156
Provider NameAkua E Asiamah-mcmillan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447741269
PECOS PAC ID: 6305247727
Enrollment ID: I20210623001444
Provider NameParth Bhavsar
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1104323203
PECOS PAC ID: 4789932518
Enrollment ID: I20210811002522
Provider NameJoyce R Murigu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346702982
PECOS PAC ID: 0547665481
Enrollment ID: I20210816003034
Provider NameYe Seul Cho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780141150
PECOS PAC ID: 8921403734
Enrollment ID: I20210817002178
Provider NameMelissa Mason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831706449
PECOS PAC ID: 1052704475
Enrollment ID: I20220208001196
Provider NameFelisha N Dixon-brazier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366792186
PECOS PAC ID: 3274927504
Enrollment ID: I20220302000399
Provider NameSafia Siddiqui
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649733668
PECOS PAC ID: 9830424860
Enrollment ID: I20220617001838
Provider NameKimberly Nichole Eide
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659908937
PECOS PAC ID: 5294158556
Enrollment ID: I20220620000741
Provider NameJerett Tozzi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265536668
PECOS PAC ID: 0345326013
Enrollment ID: I20220806000190
Provider NameSherlyne Anatole
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023659737
PECOS PAC ID: 9032591953
Enrollment ID: I20220809000901
Provider NameClarissa Diann Burns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568092518
PECOS PAC ID: 5991180036
Enrollment ID: I20220909002947
Provider NameRuthann M Cunningham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427048552
PECOS PAC ID: 1658550058
Enrollment ID: I20220930003078
Provider NameThanmayie Bethi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962038307
PECOS PAC ID: 4880060771
Enrollment ID: I20221018001398
Provider NameRachel Storey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699121053
PECOS PAC ID: 6002198777
Enrollment ID: I20221114003208
Provider NameEileen Neizer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306596382
PECOS PAC ID: 6002285053
Enrollment ID: I20221213002771
Provider NameTricia Litchmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174231112
PECOS PAC ID: 4082083779
Enrollment ID: I20230206001232
Provider NameTierra Harp
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073223491
PECOS PAC ID: 3577936434
Enrollment ID: I20230224000914
Provider NameFrances Garcia-barna
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104374875
PECOS PAC ID: 9537533997
Enrollment ID: I20230327000337
Provider NamePinnakin Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871095992
PECOS PAC ID: 0547635153
Enrollment ID: I20230413001442
Provider NameJennifer Mandhai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134686207
PECOS PAC ID: 1456771062
Enrollment ID: I20230518003336
Provider NameAshley Elizabeth Black
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477146777
PECOS PAC ID: 4587073457
Enrollment ID: I20230522001196
Provider NameChristina Hardy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376883082
PECOS PAC ID: 6204072655
Enrollment ID: I20230801000340
Provider NameMarie Guilda Vilmont-rhea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518550664
PECOS PAC ID: 3678921301
Enrollment ID: I20231119000086
Provider NameLinda Schwager Herring
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1881996965
PECOS PAC ID: 4183069719
Enrollment ID: I20240305001586

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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.