Affinity Physician Services Llc - Medicare Primary Care in Birmingham, AL

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Affinity Physician Services Llc is a medicare enrolled primary clinic (General Practice) in Birmingham, Alabama. The current practice location for Affinity Physician Services Llc is 3686 Grandview Pkwy Ste 820, Birmingham, Alabama. For appointments, you can reach them via phone at (205) 971-3000. The mailing address for Affinity Physician Services Llc is 3690 Grandview Pkwy, Birmingham, Alabama and phone number is () -.

Affinity Physician Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366485617. 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 (205) 971-3000.

Contact Information

Affinity Physician Services Llc
3686 Grandview Pkwy Ste 820
Birmingham
AL 35243-3408
(205) 971-3000
(205) 971-4910

Map and Direction


Primary Care Clinic Profile

Full NameAffinity Physician Services Llc
SpecialityGeneral Practice
Location3686 Grandview Pkwy Ste 820, Birmingham, Alabama
Authorized Official Name and PositionJennifer L Jackson (SR DIR PROV ENROLL & ONBOARDING)
Authorized Official Contact6154653334
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Affinity Physician Services Llc
3690 Grandview Pkwy
Birmingham
AL 35243-3326

Ph: () -		Affinity Physician Services Llc
3686 Grandview Pkwy Ste 820
Birmingham
AL 35243-3408

Ph: (205) 971-3000

NPI Details:

NPI Number1366485617
Provider Enumeration Date06/14/2006
Last Update Date01/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4385651751
Medicare Enrollment IDO20060309000156

Medical Identifiers

Medical identifiers for Affinity Physician Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366485617NPI-NPPES
529928290MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (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. Affinity Physician Services Llc acts as a billing entity for following providers:
Provider NameRebecca R Byrd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073616629
PECOS PAC ID: 0648266833
Enrollment ID: I20040422001284
Provider NameDale M Greene
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1508897174
PECOS PAC ID: 5890765598
Enrollment ID: I20040729000922
Provider NameKenneth W Bramlett
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1164449518
PECOS PAC ID: 1759294648
Enrollment ID: I20040816000902
Provider NameJames C Brock
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790711711
PECOS PAC ID: 4385618974
Enrollment ID: I20040820000153
Provider NameDavid G Lemak
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1578530499
PECOS PAC ID: 3274509583
Enrollment ID: I20040908001012
Provider NameKyle R Hudgens
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1669475240
PECOS PAC ID: 2264485069
Enrollment ID: I20050221000647
Provider NameRodney K Swillie
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1013910694
PECOS PAC ID: 6608829403
Enrollment ID: I20050221000659
Provider NameJames L Strong
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1619970290
PECOS PAC ID: 7214980010
Enrollment ID: I20050221000690
Provider NameEdward W Reed
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1578657359
PECOS PAC ID: 2769439033
Enrollment ID: I20050407001260
Provider NameStephen P Cowley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1053389031
PECOS PAC ID: 2163461070
Enrollment ID: I20050429000698
Provider NameWilliam A Lemons
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679542294
PECOS PAC ID: 4688615644
Enrollment ID: I20050519000690
Provider NameWilliam D Sudduth
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1013954718
PECOS PAC ID: 8224079439
Enrollment ID: I20050520000221
Provider NameLefferage K Robbins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740210244
PECOS PAC ID: 6709829179
Enrollment ID: I20050607000249
Provider NameZenko J Hrynkiw
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1780637348
PECOS PAC ID: 9436189859
Enrollment ID: I20050816000583
Provider NameRandolph L Lamberson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255400776
PECOS PAC ID: 1052342110
Enrollment ID: I20050831000871
Provider NameArchana Jain
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1720189590
PECOS PAC ID: 6002815628
Enrollment ID: I20070105000358
Provider NameBarry J Mccleney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467514687
PECOS PAC ID: 9335246560
Enrollment ID: I20070522000487
Provider NameEmily M Bell
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1225197528
PECOS PAC ID: 8224126370
Enrollment ID: I20071127000040
Provider NameGilbert F Douglas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881865103
PECOS PAC ID: 4183702632
Enrollment ID: I20080423000596
Provider NameEdison Goncalves
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1457309593
PECOS PAC ID: 4880765353
Enrollment ID: I20080611000690
Provider NameAjay S Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881693810
PECOS PAC ID: 2961432034
Enrollment ID: I20080630000293
Provider NameGary Gray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922273796
PECOS PAC ID: 6204902646
Enrollment ID: I20080909000013
Provider NameNatalie T Reddington
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1114174604
PECOS PAC ID: 3375601214
Enrollment ID: I20081022000425
Provider NameRodrigo Md Valderrama
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1144240656
PECOS PAC ID: 0941236608
Enrollment ID: I20081117000614
Provider NameLawrence I Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063424935
PECOS PAC ID: 0446305304
Enrollment ID: I20090831000072
Provider NameJames R Gewin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497751127
PECOS PAC ID: 4183768187
Enrollment ID: I20100215000090
Provider NameRobert S Wolf
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1487694188
PECOS PAC ID: 4789589102
Enrollment ID: I20100216000086
Provider NameWalter Brandner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932115763
PECOS PAC ID: 0042354227
Enrollment ID: I20100225000870
Provider NameJorge Arturo Pino
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013072461
PECOS PAC ID: 2163550237
Enrollment ID: I20100511000406
Provider NameElizabeth D Deslattes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982920658
PECOS PAC ID: 6103940374
Enrollment ID: I20100825000957
Provider NameJeffrey Wade
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114967775
PECOS PAC ID: 5395719835
Enrollment ID: I20100907000809
Provider NameLora J. Pound
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154421709
PECOS PAC ID: 9830214790
Enrollment ID: I20100915000693
Provider NameJack L. Zaremba
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104918309
PECOS PAC ID: 2163547043
Enrollment ID: I20100915000885
Provider NameLinden V Hagemann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609196575
PECOS PAC ID: 3375735780
Enrollment ID: I20101004001022
Provider NameThomas M Nolen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306858287
PECOS PAC ID: 3072705268
Enrollment ID: I20101006000575
Provider NameDavis Lee Sullivan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790852465
PECOS PAC ID: 6507911690
Enrollment ID: I20101130001161
Provider NameTimothy T Mcmichens
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1750347019
PECOS PAC ID: 0042108748
Enrollment ID: I20101216000539
Provider NameRebecca A Moul
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1518161504
PECOS PAC ID: 7113115494
Enrollment ID: I20101230000916
Provider NameDurga P Goli
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1932165792
PECOS PAC ID: 6406033984
Enrollment ID: I20110609000560
Provider NameDavid B. Wilhelm
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134155195
PECOS PAC ID: 0446159578
Enrollment ID: I20110711000305
Provider NameSteven Scarcliff
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1710168745
PECOS PAC ID: 1456520816
Enrollment ID: I20110802000168
Provider NameStephen Suggs
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1689675936
PECOS PAC ID: 1759343643
Enrollment ID: I20110805000533
Provider NameFarah Y Ghori Javed
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1073807871
PECOS PAC ID: 4587553573
Enrollment ID: I20110914000651
Provider NameSaritha Uppala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588829865
PECOS PAC ID: 7315118239
Enrollment ID: I20110923000574
Provider NameDavid Christopher Black
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457324352
PECOS PAC ID: 1759357247
Enrollment ID: I20111212000245
Provider NameCynthia Poore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851696991
PECOS PAC ID: 6608046958
Enrollment ID: I20120203000581
Provider NameKellen M Rolling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821310095
PECOS PAC ID: 0547412769
Enrollment ID: I20121214000028
Provider NameMolly S Elliott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407190291
PECOS PAC ID: 3870745052
Enrollment ID: I20121217000081
Provider NameWendy Rebecca Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396763769
PECOS PAC ID: 1557516408
Enrollment ID: I20130227000242
Provider NameBrandi K Carbonie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710233184
PECOS PAC ID: 3375786544
Enrollment ID: I20130909000238
Provider NameAmy Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790109338
PECOS PAC ID: 6406089499
Enrollment ID: I20140428001133
Provider NameChristopher Williams
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235554924
PECOS PAC ID: 1850514464
Enrollment ID: I20140529002075
Provider NameWilliam P Clifford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780978205
PECOS PAC ID: 3072746650
Enrollment ID: I20140611001663
Provider NameMargot Potter
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1033436084
PECOS PAC ID: 9032338702
Enrollment ID: I20140910002176
Provider NameJulian Carlo
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1598927881
PECOS PAC ID: 1456591759
Enrollment ID: I20141001001595
Provider NameJames Gramling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366842015
PECOS PAC ID: 4587987730
Enrollment ID: I20141219001775
Provider NameEllen Hamm Hamby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346648706
PECOS PAC ID: 7113244450
Enrollment ID: I20150325000413
Provider NameKaci B Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740670280
PECOS PAC ID: 1850619115
Enrollment ID: I20150416001488
Provider NameShani T Lampley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568723955
PECOS PAC ID: 3476795204
Enrollment ID: I20150728004465
Provider NameKeri Mclendon Hyde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982084877
PECOS PAC ID: 5193031821
Enrollment ID: I20150826001119
Provider NameKaren Vines
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417392010
PECOS PAC ID: 7517275316
Enrollment ID: I20150928002430
Provider NameGregory F Mayberry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215285754
PECOS PAC ID: 3274784442
Enrollment ID: I20151007000510
Provider NameMarie Charlene Pittman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780827071
PECOS PAC ID: 5496911059
Enrollment ID: I20151113001491
Provider NameAdam B Carroll
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770929176
PECOS PAC ID: 7012219322
Enrollment ID: I20160104001584
Provider NameWhitney Tew
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205268810
PECOS PAC ID: 9931339322
Enrollment ID: I20160706001757
Provider NameSarah Abroms Kunin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932544459
PECOS PAC ID: 2264667930
Enrollment ID: I20160728001271
Provider NameJill Christine Arora
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417493784
PECOS PAC ID: 5496039976
Enrollment ID: I20170228002764
Provider NameWilliam Samuel Boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982143228
PECOS PAC ID: 5395022545
Enrollment ID: I20170426000921
Provider NameBrian Thomas Perrin
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1639512957
PECOS PAC ID: 6507004520
Enrollment ID: I20170530001690
Provider NameDrew R Uhrig
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1578829834
PECOS PAC ID: 2062663321
Enrollment ID: I20170607002636
Provider NameKeely Hooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912305269
PECOS PAC ID: 6800193046
Enrollment ID: I20170922000120
Provider NameMelissa Threlkeld
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306364310
PECOS PAC ID: 9830465608
Enrollment ID: I20171023001446
Provider NameAndrew Joseph Poe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811412083
PECOS PAC ID: 4880951185
Enrollment ID: I20171121002423
Provider NameKerrily Gresham Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700317377
PECOS PAC ID: 1254691066
Enrollment ID: I20180215001140
Provider NameRodney Dale Huffstutler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104903194
PECOS PAC ID: 6406834852
Enrollment ID: I20180713002708
Provider NameAnna Marie Lea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962900209
PECOS PAC ID: 4385994607
Enrollment ID: I20180907001601
Provider NameCaroline Howard Studdard
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215319058
PECOS PAC ID: 9234447749
Enrollment ID: I20180913002598
Provider NameEmily Christian Craner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1992123749
PECOS PAC ID: 2365795432
Enrollment ID: I20181019002138
Provider NameSara Lejeune
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356816532
PECOS PAC ID: 9032463401
Enrollment ID: I20181121001923
Provider NameEmily Entrekin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528534922
PECOS PAC ID: 8921344672
Enrollment ID: I20190116003484
Provider NameAllyson Brudi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922574839
PECOS PAC ID: 6406194091
Enrollment ID: I20190206000784
Provider NameCameron Stephenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174080402
PECOS PAC ID: 4688916513
Enrollment ID: I20190425000510
Provider NameJordan Harper Crocker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366806796
PECOS PAC ID: 9739475898
Enrollment ID: I20190522001891
Provider NameCaroline Townson Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013313873
PECOS PAC ID: 3072837335
Enrollment ID: I20190617000440
Provider NameMegan Lindsey North
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558837054
PECOS PAC ID: 6709112766
Enrollment ID: I20190729002290
Provider NameNatalya Belotserkovskaya
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1164833323
PECOS PAC ID: 3274750450
Enrollment ID: I20190815000639
Provider NameRachel H Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831748094
PECOS PAC ID: 1850723156
Enrollment ID: I20191106003248
Provider NameBrandon Paul Moore
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194189357
PECOS PAC ID: 8527352491
Enrollment ID: I20191112002404
Provider NameChristina Ordinario
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710529920
PECOS PAC ID: 2668805466
Enrollment ID: I20191210000389
Provider NameCatherine Elizabeth Barton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013570068
PECOS PAC ID: 4284068487
Enrollment ID: I20191220002223
Provider NameJames Stanton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235691189
PECOS PAC ID: 5092140897
Enrollment ID: I20200125000195
Provider NameAshley Walker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033629738
PECOS PAC ID: 7214359694
Enrollment ID: I20200612002625
Provider NameMiles Cobia
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1467830117
PECOS PAC ID: 4789995903
Enrollment ID: I20200626002165
Provider NameRachel Ethridge Sabo
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1255690616
PECOS PAC ID: 9638313059
Enrollment ID: I20200813000903
Provider NameScott Thomas
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1093248627
PECOS PAC ID: 1052698644
Enrollment ID: I20210527000629
Provider NameNolan Penn Bauldree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427642594
PECOS PAC ID: 1052710431
Enrollment ID: I20210604002461
Provider NameThomas J Cunningham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982191136
PECOS PAC ID: 4284035601
Enrollment ID: I20210623001221
Provider NameErin Nicole Showalter
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417484676
PECOS PAC ID: 6800290255
Enrollment ID: I20210806000121
Provider NameKatherine Jean Henry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174111314
PECOS PAC ID: 5092119925
Enrollment ID: I20210813001777
Provider NameAlex Mcdonald
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710470174
PECOS PAC ID: 9335486067
Enrollment ID: I20210914002039
Provider NameAmanda Victoria Wright
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679065577
PECOS PAC ID: 8325396286
Enrollment ID: I20211110003209
Provider NameJessica Miller Handlon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972149128
PECOS PAC ID: 3577955715
Enrollment ID: I20220119002525
Provider NameBenjamin Andrew Rauh
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1467947481
PECOS PAC ID: 2961881438
Enrollment ID: I20220614002268
Provider NameHenry Coker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487159893
PECOS PAC ID: 0941553697
Enrollment ID: I20220721001293
Provider NameNeil Tindell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215424486
PECOS PAC ID: 7911331855
Enrollment ID: I20220725000693
Provider NameBingyan Wang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306263819
PECOS PAC ID: 6204142375
Enrollment ID: I20220809003858
Provider NameMark Whitworth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902369523
PECOS PAC ID: 3476938424
Enrollment ID: I20220912003890
Provider NameMary Chapman Nabors
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255066452
PECOS PAC ID: 7618352352
Enrollment ID: I20220916001778
Provider NameJacalyn Reese
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1154588986
PECOS PAC ID: 4284052606
Enrollment ID: I20230601002072
Provider NameTatiana Maria Sanchez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376166074
PECOS PAC ID: 5092120188
Enrollment ID: I20230913002839
Provider NameVanessa Sui
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1558821975
PECOS PAC ID: 1052653391
Enrollment ID: I20231121002282

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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.