Privia Medical Group Gulf Coast Pllc is a
Podiatrist - Foot Surgery based in Spicewood, Texas. Privia Medical Group Gulf Coast Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
4900 Bee Creek Rd Unit 203, Spicewood, Texas. It can be reached at their office (for appointments etc.) via phone at
(512) 907-3100.
NPI number for Privia Medical Group Gulf Coast Pllc is 1518680123 and their current mailing address is 1200 Binz St Ste 1490, Houston, Texas. Privia Medical Group Gulf Coast Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1518680123.
Healthcare Provider's Profile
| Full Name | Privia Medical Group Gulf Coast Pllc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot Surgery |
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| Location | 4900 Bee Creek Rd Unit 203, Spicewood, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518680123
- Provider Enumeration Date: 09/20/2022
- Last Update Date: 09/20/2022
Medical Identifiers
Medical identifiers for Privia Medical Group Gulf Coast Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518680123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Primary |
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. Privia Medical Group Gulf Coast Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Privia Medical Group Gulf Coast Pllc
1200 Binz St Ste 1490,
Houston, TX 77004-6946
Ph: (713) 512-7700 | Privia Medical Group Gulf Coast Pllc
4900 Bee Creek Rd Unit 203,
Spicewood, TX 78669-7018
Ph: (512) 907-3100 |
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