- Medicare Primary Care in De Leon, TX

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in De Leon, Texas. The current practice location for is 1100 W Reynosa St, De Leon, Texas. For appointments, you can reach them via phone at (254) 893-5895. The mailing address for is 1100 W Reynosa Avenue, De Leon, Texas and phone number is (254) 893-5895.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134295074. 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 (254) 893-5895.

Contact Information

1100 W Reynosa St
De Leon
TX 76444
(254) 893-5895
(855) 511-6662

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1100 W Reynosa St, De Leon, Texas
Authorized Official Name and PositionSherry L Hill (CEO)
Authorized Official Contact2548935895
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1100 W Reynosa Avenue
De Leon
TX 76444

Ph: (254) 893-5895
1100 W Reynosa St
De Leon
TX 76444

Ph: (254) 893-5895

NPI Details:

NPI Number1134295074
Provider Enumeration Date11/24/2006
Last Update Date03/25/2019

Medicare PECOS Information:

Medicare PECOS PAC ID6800880824
Medicare Enrollment IDO20051128000842

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134295074NPI-NPPES
126862503MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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 NameTammy P Mccullough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316974082
PECOS PAC ID: 9638279755
Enrollment ID: I20070702000656
Provider NameTom Byrd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164458980
PECOS PAC ID: 4082614490
Enrollment ID: I20091221000345
Provider NameElizabeth Vallejo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679896856
PECOS PAC ID: 4486782182
Enrollment ID: I20100517000196
Provider NameCharles S Childers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235119629
PECOS PAC ID: 6901074830
Enrollment ID: I20110720000807
Provider NameRoy Tom Byrd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275920712
PECOS PAC ID: 3476852534
Enrollment ID: I20180906000724
Provider NameRogina Ann Gosnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518557198
PECOS PAC ID: 1658787890
Enrollment ID: I20210312000536
Provider NameLilian J Bor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548933781
PECOS PAC ID: 9739587304
Enrollment ID: I20211012002196
Provider NameBrenda Madera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922738467
PECOS PAC ID: 8921483157
Enrollment ID: I20220923000984
Provider NameTiffany Torres
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831739192
PECOS PAC ID: 9638542061
Enrollment ID: I20230825001154
Provider NameMegan Guidry
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003504549
PECOS PAC ID: 7911356415
Enrollment ID: I20231208002754
Provider NameRodney Sikes
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386100428
PECOS PAC ID: 9638528086
Enrollment ID: I20231211000743
Provider NameSheila Spears
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447711833
PECOS PAC ID: 0446684930
Enrollment ID: I20240402001726
Provider NameEmily Tutt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962082784
PECOS PAC ID: 7911377189
Enrollment ID: I20240910000464
Provider NameMckenna Caldera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487486841
PECOS PAC ID: 8224561162
Enrollment ID: I20241030001806

Reviews and Comments


Clinic/Center in De Leon, TX


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1100 W Reynosa, De Leon, TX 76444
Phone: 254-893-5895    Fax: 254-893-5222

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1100 W Reynosa Street, De Leon, TX 76444
Phone: 254-893-5895    Fax: 254-893-5222

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1100 W Reynosa St, De Leon, TX 76444
Phone: 254-893-5895    Fax: 254-893-5222

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.