Prime Care Services Incorporated 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.
Prime Care Services Incorporated is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Prime Care Services Incorporated
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.
Healthcare Provider's Profile
| Full Name | Prime Care Services Incorporated |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 2306 Oak Ln Ste 206, Grand Prairie, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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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 Prime Care Services Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326381401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363L00000X | Nurse 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.
Prime Care Services Incorporated acts as a billing entity for following providers:
| Provider Name | Beatrice N Anyadike |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1548272479
PECOS PAC ID: 5193727824
Enrollment ID: I20070209000324 |
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| Provider Name | Edolo O Azenabor |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1033225750
PECOS PAC ID: 4880749910
Enrollment ID: I20200515000050 |
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| Provider Name | Comfort N Ebozue |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1992349146
PECOS PAC ID: 6608841010
Enrollment ID: I20200728000264 |
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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. Prime Care Services Incorporated 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 Address | Practice Location Address |
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Prime Care Services Incorporated
2306 Oak Ln Ste 206,
Grand Prairie, TX 75051-8270
Ph: () - | Prime Care Services Incorporated
2306 Oak Ln Ste 206,
Grand Prairie, TX 75051-8270
Ph: (214) 418-8240 |
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