- Medicare in Grand Prairie, TX

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is a medicare enrolled "Clinic/center - Multi-specialty" provider in Grand Prairie, Texas. Their current practice location is 2306 Oak Ln Ste 206, Grand Prairie, Texas. You can reach out to their office (for appointments etc.) via phone at (214) 418-8240.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1326381401.

Contact Information

2306 Oak Ln Ste 206,
Grand Prairie, TX 75051-8270
(214) 418-8240
(972) 262-6544

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Multi-specialty
Location2306 Oak Ln Ste 206, Grand Prairie, Texas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326381401
  • Provider Enumeration Date: 03/27/2013
  • Last Update Date: 01/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7416371737
  • Enrollment ID: O20210630000743

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326381401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
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. acts as a billing entity for following providers:
Provider NameBeatrice N Anyadike
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548272479
PECOS PAC ID: 5193727824
Enrollment ID: I20070209000324
Provider NameEdolo O Azenabor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033225750
PECOS PAC ID: 4880749910
Enrollment ID: I20200515000050
Provider NameComfort N Ebozue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992349146
PECOS PAC ID: 6608841010
Enrollment ID: I20200728000264

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. 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

2306 Oak Ln Ste 206,
Grand Prairie, TX 75051-8270

Ph: () -
2306 Oak Ln Ste 206,
Grand Prairie, TX 75051-8270

Ph: (214) 418-8240

Reviews and Comments



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.