| Care Clinics, Pa | |
|
703 Hill Country Dr Ste 301 Kerrville TX 78028-6162 | |
| (830) 792-4805 | |
| (830) 792-4883 |
| Full Name | Care Clinics, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 703 Hill Country Dr Ste 301, Kerrville, Texas |
| Authorized Official Name and Position | Jon Eric Chancellor (OWNER) |
| Authorized Official Contact | 8307924805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Clinics, Pa 703 Hill Country Dr Ste 301 Kerrville TX 78028-6162 Ph: (830) 792-4805 | Care Clinics, Pa 703 Hill Country Dr Ste 301 Kerrville TX 78028-6162 Ph: (830) 792-4805 |
| NPI Number | 1144271578 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 01/09/2020 |
| Medicare PECOS PAC ID | 6507837168 |
|---|---|
| Medicare Enrollment ID | O20040805000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144271578 | NPI | - | NPPES |
| 0047KP | Other | TX | BC/BS |
| 0163190502 | Medicaid | TX | |
| 163190503 | Other | TX | MEDICAID, TSTEPS |
| DC1911 | Other | TX | RR MEDICARE |
| Provider Name | Mary F Mcglaun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083667745 PECOS PAC ID: 1355255936 Enrollment ID: I20031118000307 |
| Provider Name | Jon Eric Chancellor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598708794 PECOS PAC ID: 7517979875 Enrollment ID: I20060705000096 |
| Provider Name | Michelle Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730432493 PECOS PAC ID: 4789834508 Enrollment ID: I20121101000034 |
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