Wise Clinical Care Associates - Medicare Mental Health Clinic in Bridgeport, TX

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Wise Clinical Care Associates is a medicare enrolled mental health clinic (Family Medicine) in Bridgeport, Texas. The current practice location for Wise Clinical Care Associates is 2202 Us Highway 380 Ste 112, Bridgeport, Texas. For appointments, you can reach them via phone at (940) 683-2338. The mailing address for Wise Clinical Care Associates is Po Box 2078, Decatur, Texas and phone number is (940) 683-2338.

Wise Clinical Care Associates is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679719801. 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 (940) 683-2338.

Contact Information

Wise Clinical Care Associates
2202 Us Highway 380 Ste 112
Bridgeport
TX 76426-2177
(940) 683-2338
(940) 683-2394

Map and Direction


Mental Health Clinic Profile

Full NameWise Clinical Care Associates
SpecialityFamily Medicine
Location2202 Us Highway 380 Ste 112, Bridgeport, Texas
Authorized Official Name and PositionBrian Todd Scoggins (CFO)
Authorized Official Contact9406261228
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wise Clinical Care Associates
Po Box 2078
Decatur
TX 76234-6156

Ph: (940) 683-2338		Wise Clinical Care Associates
2202 Us Highway 380 Ste 112
Bridgeport
TX 76426-2177

Ph: (940) 683-2338

NPI Details:

NPI Number1679719801
Provider Enumeration Date12/17/2008
Last Update Date01/24/2023
Certification Date01/24/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6204988975
Medicare Enrollment IDO20090710000550

Medical Identifiers

Medical identifiers for Wise Clinical Care Associates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679719801NPI-NPPES
206106102OtherTXMEDICAID TEXAS HEALTH STEPS
0047SHOtherTXBCBS
206106101MedicaidTX
DP6508OtherTXMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
207PE0005XEmergency Medicine - Undersea And Hyperbaric Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RH0003XInternal Medicine - Hematology & Oncology (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LA2100XNurse Practitioner - Acute Care (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (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. Wise Clinical Care Associates acts as a billing entity for following providers:
Provider NameMauro S Ganzon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932165503
PECOS PAC ID: 9436130523
Enrollment ID: I20040525001481
Provider NameCharles K Tibbels
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871569632
PECOS PAC ID: 9234176314
Enrollment ID: I20050411000514
Provider NameHarpreet S Suri
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1821049875
PECOS PAC ID: 7719919141
Enrollment ID: I20060721000159
Provider NameBenjamin E Crabb
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891981536
PECOS PAC ID: 8729158803
Enrollment ID: I20080602000078
Provider NameNeeraja Dasari
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1306884853
PECOS PAC ID: 5092880591
Enrollment ID: I20080819000068
Provider NameJon Wesley Walker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023085032
PECOS PAC ID: 3870687890
Enrollment ID: I20080924000053
Provider NameArsalla Islam
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1427252378
PECOS PAC ID: 8820166168
Enrollment ID: I20081014000182
Provider NameNeelima U Maddukuri
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1366549735
PECOS PAC ID: 4880752971
Enrollment ID: I20081017000514
Provider NameSharon Gay Mclemore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750616801
PECOS PAC ID: 9436296191
Enrollment ID: I20091028000801
Provider NameBeryl A Brigham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477636009
PECOS PAC ID: 5890832562
Enrollment ID: I20091029000036
Provider NameJeffrey C Lin
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1124082938
PECOS PAC ID: 0749376986
Enrollment ID: I20100729000672
Provider NameCarlos L Macias
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1063476877
PECOS PAC ID: 4284720434
Enrollment ID: I20100804001168
Provider NameRussell Benjamin Edwards
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1629305404
PECOS PAC ID: 0345427217
Enrollment ID: I20110601000266
Provider NameSyed Amir Rizvi
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1861494221
PECOS PAC ID: 1557340064
Enrollment ID: I20111116000728
Provider NameHerbert S Hudgens
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1336107127
PECOS PAC ID: 3678730991
Enrollment ID: I20120130000026
Provider NameWhitney Victoria Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477830792
PECOS PAC ID: 0446414122
Enrollment ID: I20120608000139
Provider NameJames D Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417107905
PECOS PAC ID: 3476787482
Enrollment ID: I20131007000600
Provider NameJena M Mcbride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598194508
PECOS PAC ID: 6507094372
Enrollment ID: I20140124001422
Provider NameMelissa Marie Stroud
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841405446
PECOS PAC ID: 8426378324
Enrollment ID: I20150515001858
Provider NameAlicia N Mccue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821543646
PECOS PAC ID: 2860770989
Enrollment ID: I20161025001076
Provider NameLauren Hailey Morton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003269580
PECOS PAC ID: 0941582217
Enrollment ID: I20170120002018
Provider NameLeslie Michelle Hollis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1275582777
PECOS PAC ID: 3375827199
Enrollment ID: I20170222002638
Provider NameClaressa Donley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376061663
PECOS PAC ID: 8527333178
Enrollment ID: I20171006001047
Provider NameShantell K Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710499686
PECOS PAC ID: 4284992926
Enrollment ID: I20171229000715
Provider NameKelly Lynn Swofford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770099194
PECOS PAC ID: 4789943689
Enrollment ID: I20180123001482
Provider NameRyan Andrew Matthiesen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326480732
PECOS PAC ID: 0345534533
Enrollment ID: I20180523001094
Provider NameKelly Suzanne Jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700366051
PECOS PAC ID: 8527307982
Enrollment ID: I20190228002530
Provider NameHeather A Crites
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073080594
PECOS PAC ID: 0244563591
Enrollment ID: I20190531001708
Provider NameChristopher Barret Moeder
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1265843791
PECOS PAC ID: 3476881137
Enrollment ID: I20190820002369
Provider NameJulie Hwang
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356705958
PECOS PAC ID: 5496083099
Enrollment ID: I20190820004220
Provider NameNovie Sroa
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1467574343
PECOS PAC ID: 5496888612
Enrollment ID: I20190924003029
Provider NameElizabeth Nichole Bellows
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396387866
PECOS PAC ID: 0345675948
Enrollment ID: I20200108001057
Provider NameMartin Ruiz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356410104
PECOS PAC ID: 8628070604
Enrollment ID: I20201103001110
Provider NameKjersti Nelle Compton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871197699
PECOS PAC ID: 1557774320
Enrollment ID: I20210115001801
Provider NameGregory Cecil Gibbons
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831788611
PECOS PAC ID: 6800200957
Enrollment ID: I20210201000767
Provider NameLisa Marie Hernandez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689263576
PECOS PAC ID: 3375957442
Enrollment ID: I20210201001722
Provider NameRenee Anne Romine
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861014839
PECOS PAC ID: 8729484936
Enrollment ID: I20210913002584
Provider NameEduardo Leon Jaramillo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790079929
PECOS PAC ID: 7719115062
Enrollment ID: I20220325001055
Provider NameKaye Lynn Puckett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851046007
PECOS PAC ID: 9931596202
Enrollment ID: I20220505000942
Provider NameLaura Tanner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679229959
PECOS PAC ID: 3072900349
Enrollment ID: I20220505001099
Provider NameUsman Hashmi
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1922334556
PECOS PAC ID: 7618092719
Enrollment ID: I20230220000142
Provider NameMichelle S Khoo
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1245267236
PECOS PAC ID: 5092741447
Enrollment ID: I20230220001879

Reviews and Comments

Family Medicine in Bridgeport, TX


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.